Organization
BRENTWOOD MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINCENT LUCCHETTI (ADMINISTRATOR)
(412) 882-9455
Entity
Organization
Contact information
Practice address
3720 BROWNSVILLE RD, PITTSBURGH, PA 15227-3520
(412) 882-9455
(412) 884-6149
Mailing address
3720 BROWNSVILLE RD, PITTSBURGH, PA 15227-3520
(412) 882-9455
(412) 884-6149
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA056618
PA
Other
Enumeration date
01/08/2014
Last updated
01/08/2014
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