| NPI | 1720069750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA FASCETTI Billing Manager 412-621-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: PA 14711501) |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2020-08-22 |