Organization
UPMC/HVHS CANCER CENTER
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, MOON TOWNSHIP, PA 15108-4316
(412) 604-2020
(412) 604-2046
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
01
—
095764
PA MEDICARE IDTF
PA
05
—
1008546250001
—
PA
05
—
1008546250002
—
PA
01
—
1556237
HIGHMARK
PA
05
—
3810004028
—
WV
Enumeration date
03/07/2006
Last updated
10/09/2008
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