Organization
UPMC COMMUNITY MEDICINE INC
Active
Other names
NORTHWEST UROLOGY
Organization subpart
No
Provider details
NPI number
Authorized official
MARK EHALT (DIRECTOR)
(412) 647-0943
Entity
Organization
Contact information
Practice address
464 ALLEGHENY BLVD, SUITE 2D, FRANKLIN, PA 16323-6259
(814) 437-6797
Mailing address
464 ALLEGHENY BLVD, SUITE 2D, FRANKLIN, PA 16323-6259
(814) 437-6797
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042490
HIGHMARK MEDICARE GROUP
PA
Enumeration date
08/07/2007
Last updated
09/11/2007
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