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Organization

SEWICKLEY MEDICAL ONCOLOGY HEMATOLOGY GROUP-UPCI

Active
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Organization

SEWICKLEY MEDICAL ONCOLOGY HEMATOLOGY GROUP-UPCI

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLES E BOGOSTA (VICE PRESIDENT - CANCER SERVICES)
(412) 692-2451
Entity
Organization

Contact information

Practice address
1600 CORAOPOLIS HEIGHTS RD, SUITE F, MOON TOWNSHIP, PA 15108-4316
(412) 329-2500
(412) 329-2540
Mailing address
2 HOT METAL ST, QUANTUM ONE, N430, PITTSBURGH, PA 15203-2348
(412) 432-7706
(412) 432-7691

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
NULL
207RH0003X
Hematology & Oncology Physician
Primary
—
—
291U00000X
Clinical Medical Laboratory
39D1027607
PA

Other

Enumeration date
03/03/2006
Last updated
05/08/2009
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