Individual
LEE H BOGART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
33 W CHESTER PIKE, RIDLEY PARK, PA 19078-2035
(610) 521-2012
(610) 521-3753
Mailing address
3998 RED LION RD, STE 130, PHILADELPHIA, PA 19114-1443
(610) 521-2010
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD037855E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0013009050001
—
PA
Enumeration date
11/09/2005
Last updated
09/15/2017
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