Organization
JEFFERSON/UPMC CANCER ASSOCIATES
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
565 COAL VALLEY ROAD, PITTSBURGH, PA 15025
(412) 649-5258
(412) 469-7419
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
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012908660001
—
PA
01
—
1734906
HIGHMARK
PA
Enumeration date
03/08/2006
Last updated
10/09/2008
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