Organization
PLUM PEDIATRICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE CALABRESE MD (PRESIDENT)
(724) 327-7586
Entity
Organization
Contact information
Practice address
781 PINE VALLEY DR, PITTSBURGH, PA 15239-2842
(724) 327-7586
(724) 327-9562
Mailing address
781 PINE VALLEY DR, PITTSBURGH, PA 15239-2842
(724) 327-7586
(724) 327-9562
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD051024L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0014969000
INDEPENDENCE BLUE SHIELD
PA
05
—
0018313820001
—
PA
01
—
1027145
GATEWAY HEALTH PLAN
—
01
—
128877
HEALTH AMERICA
—
01
—
5267460
AETNA PPO
—
01
—
556984
AETNA HMO
—
01
—
62106
UNISON HEALTH PLAN
—
01
—
917554
HIGHMARK BLUE SHIELD
PA
Enumeration date
12/21/2005
Last updated
10/22/2007
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