| NPI | 1225088313 |
|---|---|
| Doing Business As | CLASSIC CARE GERONTOLOGY |
| Entity Type | Organization |
| Authorized Contact | MARK EHALT Director, Revenue Cycle 412-647-0943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2007-10-26 |