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
—
—
291U00000X
Clinical Medical Laboratory
39D1027607
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018806270007
—
PA
01
—
0018806270008
CLIA LAB
PA
05
—
2517655
—
OH
05
—
3810011966
—
WV
01
—
951583
HIGHMARK
PA
Enumeration date
03/03/2006
Last updated
05/08/2009
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