Basic Information
Provider Information
NPI: 1548982119
EntityType: 2
ReplacementNPI:  
OrganizationName: UNIVERSITY OF PITTSBURGH PHYSICIANS
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Mailing Information
Address1: 2 HOT METAL STREET
Address2: QUANTUM ONE BLDG
City: PITTSBURGH
State: PA
PostalCode: 15203
CountryCode: US
TelephoneNumber: 4124325864
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Practice Location
Address1: 620 HOWARD AVENUE
Address2:  
City: ALTOONA
State: PA
PostalCode: 166014804
CountryCode: US
TelephoneNumber: 8148892011
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Other Information
ProviderEnumerationDate: 09/12/2022
LastUpdateDate: 09/12/2022
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AuthorizedOfficialLastName: DEVLIN
AuthorizedOfficialFirstName: PATRICIA
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AuthorizedOfficialTitleorPosition: DIRECTOR
AuthorizedOfficialTelephone: 4124327469
IsSoleProprietor:  
IsOrganizationSubpart: N
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NPICertificationDate: 09/12/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207ZP0102X  Y193400000X MULTIPLE SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology

No ID Information.


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