Organization
UPMC COMMUNITY MEDICINE INC
Active
Other names
HORIZON SURGICAL ASSOCIATES UPMC
Organization subpart
No
Provider details
NPI number
Authorized official
MARK EHALT (DIRECTOR)
(412) 647-0943
Entity
Organization
Contact information
Practice address
428 S MAIN ST, GREENVILLE, PA 16125-1748
(724) 588-6660
Mailing address
428 S MAIN ST, GREENVILLE, PA 16125-1748
(724) 588-6660
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042477
HIGHMARK MEDICARE GROUP
PA
01
—
846219
HIGHMARK GROUP
PA
Enumeration date
04/02/2007
Last updated
09/05/2007
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