| Organization Name: | UPMC PRESBYTERIAN SHADYSIDE |
| NPI Number: | 1477883429 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PAUL CASTILLO (CFO) |
| Mailing Address: | 818 Braddock Ave Braddock |
| State: | PA US |
| Postal Code: | 151041715 |
| Phone Number: | 4126365187 |
| Fax Number: | 4126365248 |
| NPI Enumeration Date: | 01/13/2010 |
| NPI Last Update Date: | 01/13/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | DS027386L |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |