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Organization

JACK MANNHEIMER M.D. PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HEATHER MCLAUGHLIN (OFFICE MANAGER)
(412) 469-8220
Entity
Organization

Contact information

Practice address
500 LEWIS RUN RD, SUITE 129, WEST MIFFLIN, PA 15122-3056
(412) 469-8220
(412) 469-9365
Mailing address
500 LEWIS RUN RD, SUITE 129, WEST MIFFLIN, PA 15122-3056
(412) 469-8220
(412) 469-9365

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
803622
HIGHMARK
Enumeration date
11/16/2010
Last updated
11/16/2010
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