Organization
MERCY PRIMARY CARE, INC
Active
Other names
Neonatology Group
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY LANG COO (DIRECTOR)
(412) 232-8111
Entity
Organization
Contact information
Practice address
1400 LOCUST ST, PITTSBURGH, PA 15219-5114
(412) 232-8111
Mailing address
PO BOX 641683, PITTSBURGH, PA 15264-1683
(412) 937-8887
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1839682
HIGHMARK BSPA GROUP NUMBE
PA
Enumeration date
10/24/2006
Last updated
08/22/2020
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