Provider Demographics
NPI:1457709974
Name:ALLEGHENY PHYSICAL MEDICINE
Entity type:Organization
Organization Name:ALLEGHENY PHYSICAL MEDICINE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:HENRY . ECKER
Authorized Official - Middle Name:
Authorized Official - Last Name:ECKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-831-2225
Mailing Address - Street 1:1234 DENNISTON ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217-1329
Mailing Address - Country:US
Mailing Address - Phone:412-419-6866
Mailing Address - Fax:
Practice Address - Street 1:6040 LIBRARY RD
Practice Address - Street 2:
Practice Address - City:BETHEL PARK
Practice Address - State:PA
Practice Address - Zip Code:15102-4012
Practice Address - Country:US
Practice Address - Phone:412-831-2225
Practice Address - Fax:412-831-0192
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-25
Last Update Date:2016-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAK001106171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty