Organization
ALLEGHENY CLINIC
Active
Other names
The Center for Diabetes and Endocrine Health
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN CHILTON (PROVIDER CREDENTIALING SPECIALIST)
(412) 330-5852
Entity
Organization
Contact information
Practice address
4815 LIBERTY AVE # SITE215, PITTSBURGH, PA 15224-2156
(412) 578-5901
(412) 578-5902
Mailing address
4 ALLEGHENY CTR FL 7, PITTSBURGH, PA 15212-5255
(412) 330-5861
(412) 330-5844
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007317140358
—
PA
05
—
2378449
—
OH
05
—
3810010050
—
WV
Enumeration date
09/29/2005
Last updated
11/06/2020
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