Organization
MAMATAS MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA KERCHENSKY (MANAGER)
(724) 596-6674
Entity
Organization
Contact information
Practice address
10 DUFF RD STE 212, PITTSBURGH, PA 15235
(412) 216-5825
Mailing address
6 MALONE ST, PITTSBURGH, PA 15239-1955
(412) 216-5825
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1064002
—
PA
Enumeration date
07/01/2018
Last updated
07/19/2018
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