Organization
VASCULAR ACCESS CENTER OF PITTSBURGH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SETH SHARPE (CHIEF EXECUTIVE OFFICER)
(215) 382-3680
Entity
Organization
Contact information
Practice address
51 DUTILH RD STE 100, CRANBERRY TOWNSHIP, PA 16066-4148
(412) 683-4504
(412) 383-4505
Mailing address
2929 ARCH STREET, SUITE 1705, PHILADELPHIA, PA 19104-2866
(215) 382-3680
(215) 401-6772
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
PA
2086S0129X
Vascular Surgery Physician
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001881358
HIGHMARK BLUE SHIELD
PA
05
—
1016627830001
—
PA
01
—
1454576
AETNA
PA
01
—
1557165
GATEWAY HEALTH PLAN
PA
01
—
187194
UNISON
PA
01
—
716920
UPMC
PA
01
—
DF1590
RAILROAD MEDICARE
PA
Enumeration date
05/19/2006
Last updated
05/26/2020
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