Provider Demographics
NPI:1477870319
Name:UPMC COMMUNITY MEDICINE INC
Entity Type:Organization
Organization Name:UPMC COMMUNITY MEDICINE INC
Other - Org Name:DRS. WAHAL,ARIFF&MARGOLIS-UPMC
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:EHALT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-647-0943
Mailing Address - Street 1:6530 ROUTE 22
Mailing Address - Street 2:SUITE 100
Mailing Address - City:DELMONT
Mailing Address - State:PA
Mailing Address - Zip Code:15626-2414
Mailing Address - Country:US
Mailing Address - Phone:724-468-6477
Mailing Address - Fax:724-468-6498
Practice Address - Street 1:6530 ROUTE 22
Practice Address - Street 2:SUITE 100
Practice Address - City:DELMONT
Practice Address - State:PA
Practice Address - Zip Code:15626-2414
Practice Address - Country:US
Practice Address - Phone:724-468-6477
Practice Address - Fax:724-468-6498
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-03
Last Update Date:2010-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA042490Medicare PIN