Organization
GENESIS MEDICAL ASSOCIATES
Active
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
Update your record
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