Organization
CENTER FOR RENAL CARE AT SHADYSIDE, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. J. GREGORY CAUTERUCCI SR. NHA (PRESIDENT)
(412) 661-7026
Entity
Organization
Contact information
Practice address
5511 BAUM BLVD, PITTSBURGH, PA 15232-1203
(412) 661-7026
Mailing address
440 S. FAIRMOUNT ST, PITTSBURGH, PA 15232
(412) 661-7026
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
12/11/2006
Last updated
01/14/2008
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