Squirrel Hill Family Practice - Upmc

NPI #1063553857 in Pittsburgh, Pennsylvania

Provider Information

NPI Number
1063553857
Entity Type
Organization
Organization Name
Squirrel Hill Family Practice - Upmc
Subpart
Yes (part of a larger organization)
Parent Organization
MEDVANTX, INC
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Feb 12, 2007
Last Updated
Oct 17, 2012

Practice Location

Address
5889 FORBES AVE
Address 2
2ND FL FORBES SHADY COMMONS
ZIP Code
15217-1660
Phone
(412) 421-6047

Authorized Official

Name
KENNY HEINE
Title
DIRECTOR OF OPERATIONS
Phone
(858) 625-2990

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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