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Organization

CENTRE AVENUE GROUP, LLC

Active
Other names
East Side Surgery Center
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTOPHER KOLIC CPA,, ESQ (CEO,)
(412) 661-5500
Entity
Organization

Contact information

Practice address
5800 CENTRE AVE, PITTSBURGH, PA 15206-3710
(412) 661-5500
Mailing address
5800 CENTRE AVE, PITTSBURGH, PA 15206-3710
(412) 661-5500

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Enumeration date
02/28/2007
Last updated
08/22/2020
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