Individual
JANET BOGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
555 N DUKE ST, LANCASTER, PA 17602-2250
(717) 544-4940
(717) 544-4149
Mailing address
555 N DUKE ST, LANCASTER, PA 17602-2250
(717) 544-4940
(717) 544-4149
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD420814
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001587142
HIGHMARK
PA
05
—
100889881 0001
—
PA
01
—
P00204592
RR MEDICARE
PA
Enumeration date
10/09/2007
Last updated
10/09/2007
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