Provider Demographics
NPI:1447214416
Name:SEWICKLEY MEDICAL ONCOLOGY HEMATOLOGY GROUP-UPCI
Entity type:Organization
Organization Name:SEWICKLEY MEDICAL ONCOLOGY HEMATOLOGY GROUP-UPCI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:P
Authorized Official - Last Name:BONDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-473-6751
Mailing Address - Street 1:2 HOT METAL ST
Mailing Address - Street 2:QUANTUM ONE, N430
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15203-2348
Mailing Address - Country:US
Mailing Address - Phone:412-432-7706
Mailing Address - Fax:412-432-7691
Practice Address - Street 1:1600 CORAOPOLIS HEIGHTS RD
Practice Address - Street 2:SUITE F
Practice Address - City:MOON TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:15108-4316
Practice Address - Country:US
Practice Address - Phone:412-329-2500
Practice Address - Fax:412-329-2540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-14
Last Update Date:2008-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA049781PZBMedicare PIN
PA5105500001Medicare NSC