Provider Demographics
NPI:1063646438
Name:PRIMARY CARE GROUP 4 INC
Entity Type:Organization
Organization Name:PRIMARY CARE GROUP 4 INC
Other - Org Name:PAUL G. LINDER, M.D.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:G
Authorized Official - Last Name:LINDER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-655-8515
Mailing Address - Street 1:1907 LEBANON CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:WEST MIFFLIN
Mailing Address - State:PA
Mailing Address - Zip Code:15122-2432
Mailing Address - Country:US
Mailing Address - Phone:412-655-8515
Mailing Address - Fax:412-655-3288
Practice Address - Street 1:1907 LEBANON CHURCH RD
Practice Address - Street 2:
Practice Address - City:WEST MIFFLIN
Practice Address - State:PA
Practice Address - Zip Code:15122-2432
Practice Address - Country:US
Practice Address - Phone:412-655-8515
Practice Address - Fax:412-655-3288
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JEFFERSON REGIONAL MEDICAL CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-05-13
Last Update Date:2009-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty