Healthcare Provider Details
I. General information
NPI: 1851398036
Provider Name (Legal Business Name): WEST PENN RADIATION ONCOLOGY ASSOCIATES, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/05/2005
Last Update Date: 05/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4800 FRIENDSHIP AVE
PITTSBURGH PA
15224-1722
US
IV. Provider business mailing address
PO BOX 49
PITTSBURGH PA
15230-0049
US
V. Phone/Fax
- Phone: 412-578-1923
- Fax:
- Phone: 412-937-5949
- Fax: 412-937-5705
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2085R0202X |
| Taxonomy | Diagnostic Radiology Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2085R0203X |
| Taxonomy | Therapeutic Radiology Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2085R0001X |
| Taxonomy | Radiation Oncology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JUDITH
H
FIGURA
Title or Position: PRESIDENT
Credential: MD
Phone: 412-578-1923