# BOGNET MEDICAL ASSOCIATES, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366499410
- **Authorized official:** DR. JOSEPH CONRAD BOGNET D.O. (PRESIDENT)
- **Authorized official phone:** (610) 821-2820

## Contact information

- **Practice address:** 1275 S CEDAR CREST BLVD, SUITE \#5, ALLENTOWN, PA 18103-6207
- **Practice address phone:** (610) 821-2820
- **Practice address fax:** (610) 821-2859
- **Mailing address:** 1275 S CEDAR CREST BLVD, SUITE \#5, ALLENTOWN, PA 18103-6207
- **Mailing address phone:** (610) 821-2820
- **Mailing address fax:** (610) 821-2859

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | OS 009228L | PA | Yes |

## Other

- **Enumeration date:** 05/27/2006
- **Last updated:** 04/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 02699100 | CAPITAL BLUE CROSS | PA |
| 01 | — | 0487888 | HIGHMARK BLUE SHIELD | PA |