Organization
TRI-STATE VISITING HOME PHYSICIANS
Active
Organization
TRI-STATE VISITING HOME PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERNARD OKEM OGON M.D (PHYSICIAN/ MEDICAL DIRECTOR)
(773) 983-2866
Entity
Organization
Contact information
Practice address
1200 VETERANS HWY, STE 836, BRISTOL, PA 19007-2525
(215) 458-7114
(215) 458-7994
Mailing address
54 ANTHONY DR, BURLINGTON, NJ 08016-5155
(609) 479-3043
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
MD436175
PA
Other
Enumeration date
07/09/2013
Last updated
12/15/2013
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