Provider Demographics
NPI:1831236447
Name:EMMANUEL FAMILY PRACTICE ASSOCIATES, PC
Entity type:Organization
Organization Name:EMMANUEL FAMILY PRACTICE ASSOCIATES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:S
Authorized Official - Last Name:MORTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-727-6478
Mailing Address - Street 1:1789 S BRADDOCK AVE
Mailing Address - Street 2:STE 380
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15218-1883
Mailing Address - Country:US
Mailing Address - Phone:412-727-6478
Mailing Address - Fax:412-727-6530
Practice Address - Street 1:1789 S BRADDOCK AVE
Practice Address - Street 2:STE 380
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15218-1883
Practice Address - Country:US
Practice Address - Phone:412-727-6478
Practice Address - Fax:412-727-6530
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2016-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD034333E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty