Organization
ALLEGHENY CLINIC
Active
Other names
Allegheny Center for Digestive Health
Organization subpart
No
Provider details
NPI number
Authorized official
CANDICE GENTILE (PROVIDER ENROLLMENT SPECIALIST)
(412) 330-5853
Entity
Organization
Contact information
Practice address
1307 FEDERAL ST STE B100, PITTSBURGH, PA 15212-4761
(412) 359-8900
(412) 359-8977
Mailing address
4 ALLEGHENY CTR FL 7, PITTSBURGH, PA 15212-5255
(412) 330-5861
(412) 330-5844
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
PA
208100000X
Physical Medicine & Rehabilitation Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007317140285
—
PA
Enumeration date
07/28/2005
Last updated
07/21/2022
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