Organization
SPORTS MEDICINE & JOINT REPLACEMENT SPECIALISTS CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA L HABIB (PRACTICE MANAGER)
(412) 207-9780
Entity
Organization
Contact information
Practice address
345 MOUNT LEBANON BLVD, PITTSBURGH, PA 15234-1504
(412) 207-9780
(412) 207-9782
Mailing address
PO BOX 1116, WEXFORD, PA 15090-1116
(412) 207-9780
(412) 207-9782
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10109443001
—
PA
Enumeration date
04/07/2008
Last updated
04/12/2016
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