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Organization
LEHIGH VALLEY PHYSICIAN GROUP
Active
Organization
LEHIGH VALLEY PHYSICIAN GROUP
Active
Other names
Bognet Medical Associates, PC
Organization subpart
No
Provider details
NPI number
Authorized official
BREANNA SANTIAGO (PROVIDER ENROLLMENT LIAISON)
(484) 884-0661
Entity
Organization
Contact information
Practice address
1275 S CEDAR CREST BLVD STE 5, ALLENTOWN, PA 18103-6207
(610) 821-2820
(610) 821-2859
Mailing address
1605 N CEDAR CREST BLVD STE 110B, ALLENTOWN, PA 18104-2351
(610) 973-1410
(610) 973-1449
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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