Organization
SHADYSIDE CARDIOLOGY ROTATION PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANCI C KEEFE (BUSINESS MANAGER)
(412) 820-0570
Entity
Organization
Contact information
Practice address
5230 CENTRE AVE, UPMC SHADYSIDE HOSPITAL, PITTSBURGH, PA 15232-1304
(412) 820-0570
(412) 820-4477
Mailing address
PO BOX 641671, PITTSBURGH, PA 15264-1671
(412) 820-0570
(412) 820-4477
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SH103248
BLUE CROSS OF WESTERN PA
PA
Enumeration date
10/21/2006
Last updated
07/13/2007
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