| Richard C. Hogan MD PC | |
|
301 Ohio River Blvd Ste 306 Sewickley PA 15143-1300 | |
| (412) 584-1324 | |
| Not Available |
| Full Name | Richard C. Hogan MD PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 301 Ohio River Blvd Ste 306, Sewickley, Pennsylvania |
| Authorized Official Name and Position | Richard C Hogan (CEO / PRESIDENT) |
| Authorized Official Contact | 4125841324 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard C. Hogan MD PC 1852 Glen Mitchell Rd Sewickley PA 15143-8849 Ph: (412) 916-8268 | Richard C. Hogan MD PC 301 Ohio River Blvd Ste 306 Sewickley PA 15143-1300 Ph: (412) 584-1324 |
| NPI Number | 1063101947 |
|---|---|
| Provider Enumeration Date | 05/05/2023 |
| Last Update Date | 05/05/2023 |
| Certification Date | 05/05/2023 |
| Medicare PECOS PAC ID | 1759743628 |
|---|---|
| Medicare Enrollment ID | O20230810000282 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063101947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Michele D Trunzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831425222 PECOS PAC ID: 4789723495 Enrollment ID: I20091209000077 |
| Provider Name | Richard C Hogan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588680375 PECOS PAC ID: 0749262731 Enrollment ID: I20100430000288 |
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