Basic Information
Provider Information
NPI: 1659691475
EntityType: 2
ReplacementNPI:  
OrganizationName: ALLEGHENY GENERAL HOSPITAL
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Mailing Information
Address1: 1307 FEDERAL STREET
Address2: SUITE B 300
City: PITTSBURGH
State: PA
PostalCode: 152124789
CountryCode: US
TelephoneNumber: 4123593751
FaxNumber: 4123598439
Practice Location
Address1: 1307 FEDERAL ST
Address2: SUITE B 300
City: PITTSBURGH
State: PA
PostalCode: 152124769
CountryCode: US
TelephoneNumber: 4123593751
FaxNumber: 4123598439
Other Information
ProviderEnumerationDate: 06/03/2010
LastUpdateDate: 06/03/2010
NPIDeactivationReasonCode:  
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ProviderGenderCode:  
AuthorizedOfficialLastName: LEY
AuthorizedOfficialFirstName: MICHELE
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AuthorizedOfficialTitleorPosition: MANAGED CARE SPECIALIST
AuthorizedOfficialTelephone: 4123305207
IsSoleProprietor:  
IsOrganizationSubpart: N
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NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
261QM2500XMT192657PAY Ambulatory Health Care FacilitiesClinic/CenterMedical Specialty

No ID Information.


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