Organization
ALLEGHENY CLINIC
Active
Other names
WPAHS Plastic Surgeons
Organization subpart
No
Provider details
NPI number
Authorized official
CANDICE GENTILE (PROVIDER CREDENTIALING SPECIALIST)
(412) 330-5853
Entity
Organization
Contact information
Practice address
320 E NORTH AVE STE 401, PITTSBURGH, PA 15212-4756
(412) 359-4352
(412) 359-8285
Mailing address
4 ALLEGHENY CTR FL 7, PITTSBURGH, PA 15212-5255
(412) 303-5861
(412) 330-5844
Taxonomy
Speciality
Code
Description
License number
State
2086S0105X
Surgery of the Hand (Surgery) Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007317140365
—
PA
Enumeration date
09/28/2010
Last updated
11/06/2020
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