Individual
STEPHEN BOGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
245 N 15TH ST, MAIL STOP: 1011, PHILADELPHIA, PA 19102-1101
(215) 762-2374
Mailing address
1601 CHERRY ST, SUITE 11511, PHILADELPHIA, PA 19102-1320
(215) 255-7822
(215) 255-7825
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD448688
PA
Other
Enumeration date
05/28/2010
Last updated
05/10/2016
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