Individual
DR. SAMANTHA JO BOGDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1021 PARK AVE, QUAKERTOWN, PA 18951-0130
(215) 538-4690
(866) 410-3429
Mailing address
1021 PARK AVE STE 101, QUAKERTOWN, PA 18951-1573
(155) 367-9982
(215) 538-6459
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OS021108
PA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
OS021108
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/18/2017
Last updated
01/13/2024
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