Provider Demographics
NPI:1194912600
Name:PREFERRED PRIMARY CARE PHYSICIANS, INC.
Entity type:Organization
Organization Name:PREFERRED PRIMARY CARE PHYSICIANS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:LUTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-531-2902
Mailing Address - Street 1:2375 GREENTREE RD
Mailing Address - Street 2:2ND FLOOR REAR
Mailing Address - City:CARNEGIE
Mailing Address - State:PA
Mailing Address - Zip Code:15106-4203
Mailing Address - Country:US
Mailing Address - Phone:412-249-1663
Mailing Address - Fax:412-249-1665
Practice Address - Street 1:2375 GREENTREE RD
Practice Address - Street 2:2ND FLOOR REAR
Practice Address - City:CARNEGIE
Practice Address - State:PA
Practice Address - Zip Code:15106-4203
Practice Address - Country:US
Practice Address - Phone:412-249-1663
Practice Address - Fax:412-249-1665
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-28
Last Update Date:2007-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy