Organization
BOGNET MEDICAL ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH CONRAD BOGNET D.O. (PRESIDENT)
(610) 821-2820
Entity
Organization
Contact information
Practice address
1275 S CEDAR CREST BLVD, SUITE #5, ALLENTOWN, PA 18103-6207
(610) 821-2820
(610) 821-2859
Mailing address
1275 S CEDAR CREST BLVD, SUITE #5, ALLENTOWN, PA 18103-6207
(610) 821-2820
(610) 821-2859
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS 009228L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02699100
CAPITAL BLUE CROSS
PA
01
—
0487888
HIGHMARK BLUE SHIELD
PA
Enumeration date
05/27/2006
Last updated
04/22/2020
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