Organization
CHILDREN'S COMMUNITY CARE
Active
Other names
Children's Community Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
LORI MARTINEZ (EXECUTIVE ADMINISTRATOR III)
(724) 933-1100
Entity
Organization
Contact information
Practice address
305 MOUNT LEBANON BLVD STE 100, PITTSBURGH, PA 15234-1565
(412) 561-7541
Mailing address
103 BRADFORD RD STE 200, WEXFORD, PA 15090-6910
(172) 493-3110
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
03/23/2021
Last updated
07/12/2024
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