Organization
THE CENTER FOR SKIN SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON L HRABOVSKY M.D. (PRESIDENT)
(724) 940-1005
Entity
Organization
Contact information
Practice address
1606 CARMODY CT, SUITE 302, SEWICKLEY, PA 15143-8568
(724) 940-1005
(724) 940-1006
Mailing address
1606 CARMODY CT, SUITE 302, SEWICKLEY, PA 15143-8568
(724) 940-1005
(724) 940-1006
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD064345L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016749600006
—
PA
01
—
003462ZC44
MEDICARE GROUP MEMBER PROVIDER NUMBER
—
01
—
070015781
RAILROAD MEDICARE
PA
01
—
1174522619
PROVIDER NPI
PA
01
—
147715
MEDICARE PTAN
PA
01
—
200099
UPMC
PA
01
—
39D0987990
CLIA
PA
01
—
716101
HIGHMARK
PA
01
—
9856097
AETNA
PA
Enumeration date
02/01/2007
Last updated
05/06/2009
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