Organization
FAMILY PRACTICE MEDICAL ASSOCIATE SOUTH INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE NOEL (DIRECTOR PROVIDER ENROLLMENT)
(412) 330-5861
Entity
Organization
Contact information
Practice address
1200 BROOKS LN, SUITE 290, JEFFERSON HILLS, PA 15025-3765
(412) 729-1500
(412) 384-2462
Mailing address
4 ALLEGHENY CTR FL 7, PITTSBURGH, PA 15212-5255
(412) 330-5861
(412) 330-5544
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/18/2006
Last updated
10/06/2020
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