Organization
GENESIS MEDICAL ASSOCIATES
Active
Other names
William S. Zillweger Medical Practice
Organization subpart
No
Provider details
NPI number
Authorized official
MARK KISSINGER (EXECUTIVE DIRECTOR)
(412) 369-9550
Entity
Organization
Contact information
Practice address
9104 BABCOCK BLVD, SUITE 3111, PITTSBURGH, PA 15237-5818
(412) 366-2950
(412) 366-2775
Mailing address
8150 PERRY HWY, SUITE 300, PITTSBURGH, PA 15237-5232
(412) 369-9550
(412) 369-9566
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
878076
BLUE SHIELD GROUP #
—
Enumeration date
03/08/2007
Last updated
08/22/2020
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