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Organization

UPMC TWIN CITY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELLE JEGASOTHY (INCORPORATOR)
(412) 647-5472
Entity
Organization

Contact information

Practice address
340 OXFORD ST, STE 200, 220, DOVER, OH 44622-1965
(330) 440-0715
Mailing address
600 GRANT STREET, US STEEL TOWER, 59TH FLOOR, C/O RENEE JOHNSON, PITTSBURGH, PA 15219-2740
(412) 623-6303

Taxonomy

Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
207Q00000X
Family Medicine Physician
207QA0000X
Adolescent Medicine (Family Medicine) Physician
207QA0505X
Adult Medicine Physician
207QG0300X
Geriatric Medicine (Family Medicine) Physician
208000000X
Pediatrics Physician
2080A0000X
Pediatric Adolescent Medicine Physician
261QR1300X
Rural Health Clinic/Center
Primary
363LF0000X
Family Nurse Practitioner
363LP2300X
Primary Care Nurse Practitioner

Other

Enumeration date
06/04/2026
Last updated
06/04/2026
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