Provider Demographics
NPI:1093826646
Name:SANALJON MEDICAL CARE
Entity Type:Organization
Organization Name:SANALJON MEDICAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROIG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-787-6340
Mailing Address - Street 1:216 SUMMIT PARK DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15275-1220
Mailing Address - Country:US
Mailing Address - Phone:412-787-6340
Mailing Address - Fax:412-787-6343
Practice Address - Street 1:216 SUMMIT PARK DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15275-1220
Practice Address - Country:US
Practice Address - Phone:412-787-6340
Practice Address - Fax:412-787-6343
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2013-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1784069OtherHIGHMARK BCBS
PA5270320001Medicare ID - Type UnspecifiedMEDICARE PROVIDER ID