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Organization

GENESIS MEDICAL ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TONI MARIE SCANLAN PA-C (MID LEVEL PROVIDER)
(412) 364-6120
Entity
Organization

Contact information

Practice address
3601 MCKNIGHT EAST DR, PITTSBURGH, PA 15237-6400
(412) 364-6120
Mailing address
121 LOCUST LN, PITTSBURGH, PA 15241-1341
(412) 834-5751

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA002824L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MA002824L
PA-C LICENSE NUMBER
PA
Enumeration date
01/11/2007
Last updated
08/22/2020
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