Organization
SPORTS MEDICINE & JOINT REPLACEMENT SPECIALISTS CORPORATION
Active
Parent organization
SPORTS MEDICINE & JOINT REPLACEMENT SPECIALISTS CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPORTS MEDICINE & JOINT REPLACEMENT SPECIALISTS CORPORATION
Authorized official
GREGORY FLINN HABIB DO (OWNER/PHYSICIAN)
(412) 207-9780
Entity
Organization
Contact information
Practice address
542 RUGH ST STE 2000, GREENSBURG, PA 15601-5623
(412) 207-9780
(412) 207-9782
Mailing address
345 MOUNT LEBANON BLVD, PITTSBURGH, PA 15234-1504
(412) 207-9780
(412) 207-9782
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021997440001
—
PA
Enumeration date
12/07/2017
Last updated
12/07/2017
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