Organization
GENESIS MEDICAL ASSOCIATES, INC.
Active
Parent organization
GENESIS MEDICAL ASSOCIATES, INC
Other names
GMA/Heck & Polinski Medical Practice
Organization subpart
Yes
Provider details
NPI number
Legal business name
GENESIS MEDICAL ASSOCIATES, INC
Authorized official
MARK KISSINGER (EXECUTIVE DIRECTOR)
(412) 369-9550
Entity
Organization
Contact information
Practice address
8150 PERRY HWY, PITTSBURGH, PA 15237-5232
(412) 369-9550
(412) 369-9566
Mailing address
526 PERRY HWY, PITTSBURGH, PA 15229-1854
(412) 931-7415
(412) 931-7415
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1990093
HIGHMARK BLUE SHIELD
PA
Enumeration date
12/05/2007
Last updated
12/17/2007
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