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Organization

COMMUNITY CARE PLUS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MATTHEW J COPPOLA M.D. (OWNER)
(412) 367-3121
Entity
Organization

Contact information

Practice address
601 MONROE AVE, PITTSBURGH, PA 15202-3520
(412) 920-5860
(412) 920-5861
Mailing address
PO BOX 16008, PITTSBURGH, PA 15242-0008
(412) 920-5860
(412) 920-5861

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0016005720007
PA
01
888998
BLUESHIELD
PA
Enumeration date
04/11/2006
Last updated
02/20/2008
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