Organization
ALLEGHENY CLINIC
Active
Other names
AHN Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
CANDICE GENTILE (PROVIDER CREDENTIALING SPECIALIST)
(412) 330-5853
Entity
Organization
Contact information
Practice address
320 E NORTH AVE FL 3, PITTSBURGH, PA 15212-4756
(412) 359-3115
(412) 359-3165
Mailing address
4 ALLEGHENY CTR FL 7, PITTSBURGH, PA 15212-5255
(412) 330-5861
(412) 330-5844
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
—
—
208600000X
Surgery Physician
Primary
—
—
2086S0102X
Surgical Critical Care Physician
—
—
2086S0127X
Trauma Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007317140093
—
PA
Enumeration date
07/28/2005
Last updated
11/06/2020
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