Individual
DR. NICOLLE BOUGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
LEHIGH VALLEY HOSPITAL, 17TH & CHEW STREETS, ALLENTOWN, PA 18105-7017
(610) 969-4515
Mailing address
1617 EATON AVE, BETHLEHEM, PA 18018-1705
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
OT010590
PA
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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