Organization
AMBULATORY ANESTHESIA ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BONNIE ALLEN IMMEKUS (OFFICE MANAGER)
(412) 937-1900
Entity
Organization
Contact information
Practice address
2 PARKWAY CTR, SUITE G-1, PITTSBURGH, PA 15220-3510
(412) 937-1900
(412) 937-9014
Mailing address
2 PARKWAY CTR, SUITE G-1, PITTSBURGH, PA 15220-3510
(412) 937-1900
(412) 937-9014
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
045632
HIGHMARK GROUP PROVIDER #
PA
Enumeration date
10/09/2006
Last updated
08/22/2020
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