Individual
HILLARY R BOGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
51 N 39TH STREET, 7TH FLOOR- MUTCH BLDG., PHILADELPHIA, PA 19104-2640
(215) 662-8777
(215) 243-3290
Mailing address
51 N 39TH STREET, 7 FLOOR - MUTCH BLDG, PHILADELPHIA, PA 19104-2640
(215) 662-8777
(215) 243-3290
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD065974L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00175305200001
—
PA
Enumeration date
06/18/2006
Last updated
03/26/2012
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