Organization
UPMC
Active
Parent organization
COMMUNITY MEDICINE INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY MEDICINE INC.
Authorized official
TY LELLOCK (PRACTICE MANAGER)
(412) 623-6910
Entity
Organization
Contact information
Practice address
532 S AIKEN AVE, SUITE 400, PITTSBURGH, PA 15232-1521
(412) 623-6910
(412) 623-6911
Mailing address
532 S AIKEN AVE, SUITE 400, PITTSBURGH, PA 15232-1521
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA057919
PA
Other
Enumeration date
10/29/2015
Last updated
10/29/2015
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