Organization
ALLEGHENY CLINIC
Active
Other names
CGH Hospitalists
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN CHILTON (PROVIDER ENROLLMENT SPECIALIST)
(412) 330-5852
Entity
Organization
Contact information
Practice address
100 MEDICAL BLVD, CANONSBURG, PA 15317-9762
(724) 941-7144
(724) 941-7625
Mailing address
4 ALLEGHENY CTR FL 7, PITTSBURGH, PA 15212-5255
(412) 330-5861
(412) 330-5844
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100731714
—
PA
Enumeration date
09/20/2013
Last updated
11/06/2020
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