Provider Demographics
NPI:1497760284
Name:UPMC ST MARGARET
Entity Type:Organization
Organization Name:UPMC ST MARGARET
Other - Org Name:UPMC NEW KENSINGTON FAMILY HEALTH CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:VP FINANCE/CFO
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:DORUNDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-784-4235
Mailing Address - Street 1:301 11TH ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:NEW KENSINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15068-6179
Mailing Address - Country:US
Mailing Address - Phone:724-334-3640
Mailing Address - Fax:724-334-3644
Practice Address - Street 1:301 11TH ST
Practice Address - Street 2:SUITE C
Practice Address - City:NEW KENSINGTON
Practice Address - State:PA
Practice Address - Zip Code:15068-6179
Practice Address - Country:US
Practice Address - Phone:724-334-3640
Practice Address - Fax:724-334-3644
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2008-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA052058Medicare ID - Type Unspecified
PA052058Medicare PIN