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Individual

GINA M ALTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
320 E NORTH AVE FL 3, PITTSBURGH, PA 15212-4756
(412) 359-3115
(412) 359-3165
Mailing address
320 E NORTH AVE FL 3, PITTSBURGH, PA 15212-4756
(412) 359-3115
(412) 359-3165

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA055828
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103192882
PA
01
13573610
CAQH
Enumeration date
10/17/2012
Last updated
10/01/2020
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