Organization
UPMC COMMUNITY MEDICINE INC
Active
Parent organization
MEDVANTX, INC.
Other names
Dr. Gordon Gold, MD & Associates - UPMC - Passavant
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC.
Authorized official
MR. KENNY HEINE (VP OF OPERATIONS)
(858) 625-2990
Entity
Organization
Contact information
Practice address
9102 BABCOCK BLVD, SUITE LL4, PITTSBURGH, PA 15237-5819
(724) 772-2664
Mailing address
5626 OBERLIN DR, SUITE 110, SAN DIEGO, CA 92121-1705
(858) 625-2990
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
MD428106
PA
Other
Enumeration date
02/12/2007
Last updated
04/16/2013
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