Organization
RENAISSANCE FAMILY PRACTICE, UPMC
Active
Parent organization
MEDVANTX, INC.
Other names
Renaissance Family Practice, UPMC-Millvale
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC.
Authorized official
KENNY HEINE (DIRECTOR OF OPERATIONS)
(858) 625-2990
Entity
Organization
Contact information
Practice address
111 SHERIDAN ST, PITTSBURGH, PA 15209-2639
(412) 821-2277
Mailing address
5626 OBERLIN DR, SUITE 110, SAN DIEGO, CA 92121-1705
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
MD018049E
PA
Other
Enumeration date
02/13/2007
Last updated
10/17/2012
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