# STANLEY D. BOSTA DPM PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710912845
- **Authorized official:** MRS. DIANE L LYNCH (OPERATIONS MANAGER)
- **Authorized official phone:** (412) 461-1108

## Contact information

- **Practice address:** 495 WATERFRONT DR E, SUITE230, HOMESTEAD, PA 15120-1140
- **Practice address phone:** (412) 461-1108
- **Practice address fax:** (412) 461-5490
- **Mailing address:** 495 WATERFRONT DR E, SUITE230, HOMESTEAD, PA 15120-1140
- **Mailing address phone:** (412) 461-1108
- **Mailing address fax:** (412) 461-5490

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 07/11/2006
- **Last updated:** 01/08/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0005069140003 | — | PA |
| 01 | — | 063793XXY | MEDICARE GROUP PROV\# | PA |
| 01 | — | 1083686034 | INDIVIDUAL NPI | PA |
| 01 | — | 1382437 | HIGHMARK BS ID NUMBER | PA |
| 01 | — | 480023599 | RAILROAD MEDICARE | PA |