Organization
UNIVERSITY OF PITTSBURGH PHYSICIANS
Active
Other names
UPP Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
MARK EHALT (DIRECTOR, REVENUE CYCLE)
(412) 647-0943
Entity
Organization
Contact information
Practice address
200 LOTHROP ST, 9048A FORBES TOWER, PITTSBURGH, PA 15213-2546
(412) 647-0943
Mailing address
200 LOTHROP ST, 9048A FORBES TOWER, PITTSBURGH, PA 15213-2546
(412) 647-0943
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207ND0900X
Dermatopathology Physician
—
—
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
—
—
207NP0225X
Pediatric Dermatology Physician
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000742
HIGHMARK MEDICARE GROUP
PA
Enumeration date
04/20/2006
Last updated
09/05/2007
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