# OBGYN ASSOCIATES OF BRADFORD LLC

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

## Provider details

- **NPI number:** 1699212753
- **Authorized official:** RHONDA LYNN PENA MD (OWNER)
- **Authorized official phone:** (814) 596-0019

## Contact information

- **Practice address:** 54 BOYLSTON ST, BRADFORD, PA 16701-6526
- **Practice address phone:** (814) 596-0019
- **Mailing address:** 54 BOYLSTON ST, BRADFORD, PA 16701-6526
- **Mailing address phone:** (814) 596-0019

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | PA | Yes |

## Other

- **Enumeration date:** 01/27/2017
- **Last updated:** 01/27/2017
