Organization
ALLEGHENY CLINIC
Active
Other names
Aguilar Neurosurgery
Organization subpart
No
Provider details
NPI number
Authorized official
CANDICE GENTILE (PROVIDER CREDENTIALING SPECIALIST)
(412) 330-5853
Entity
Organization
Contact information
Practice address
575 COAL VALLEY RD STE 260, CLAIRTON, PA 15025-3716
(412) 267-6360
(412) 267-6361
Mailing address
575 COAL VALLEY RD STE 260, CLAIRTON, PA 15025-3716
(412) 267-6360
(412) 267-6361
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007317140414
—
PA
Enumeration date
09/23/2013
Last updated
05/12/2017
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