Individual
STEPHEN A BOGUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1203 LANGHORNE NEWTOWN RD, LANGHORNE, PA 19047-1209
(215) 710-2196
(215) 710-2408
Mailing address
1203 LANGHORNE NEWTOWN RD, LANGHORNE, PA 19047-1209
(215) 710-2196
(215) 710-2408
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD064721L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016995010008
—
PA
Enumeration date
10/04/2005
Last updated
04/23/2009
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