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Organization

BROOKLINE MEDICAL ASSOC PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THADDEUS ANDREW GREY MD (PRESIDENT)
(412) 341-2743
Entity
Organization

Contact information

Practice address
519 BROOKLINE BOULEVARD, PITTSBURGH, PA 15226
(412) 341-2793
(412) 341-1622
Mailing address
519 BROOKLINE BOULEVARD, PITTSBURGH, PA 15226
(412) 341-2793
(412) 341-1622

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
039737 L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11971700
WORK COMP DEPT OF LABOR
01
CF7041
RAILROAD MC
Enumeration date
04/26/2007
Last updated
08/22/2020
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