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Organization
VAL KOGANSKI MD PC
Active
Organization
VAL KOGANSKI MD PC
Active
Other names
NIM Longevity, Newtown Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
VALERI KOGANSKI (OWNER)
(215) 750-7000
Entity
Organization
Contact information
Practice address
1717 LANGHORNE NEWTOWN RD STE 402, LANGHORNE, PA 19047-1086
(215) 750-7000
(215) 750-9572
Mailing address
1717 LANGHORNE NEWTOWN RD STE 402, LANGHORNE, PA 19047-1086
(215) 750-7000
(215) 750-9572
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016014800004
—
PA
01
—
1090692
KEYSTONE MERCY
PA
01
—
1432525
BLUE SHIELD
PA
01
—
2119889000
INDEPENDENCE BLUE CROSS
PA
01
—
6121985
CIGNA
PA
01
—
H706318
AETNA
PA
Enumeration date
01/09/2007
Last updated
12/30/2021
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