Organization
AMY R STINE ESTATE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM R. BROSE (ADMINISTRATOR OF ESTATE)
(412) 367-3849
Entity
Organization
Contact information
Practice address
8150 PERRY HWY, SUITE 332, PITTSBURGH, PA 15237-5232
(412) 630-8250
(412) 630-8251
Mailing address
8150 PERRY HWY, SUITE 332, PITTSBURGH, PA 15237-5232
(412) 630-8250
(412) 630-8251
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD036523E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
250116
UPMC HEALTH PLAN
PA
Enumeration date
04/06/2006
Last updated
12/17/2008
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