Individual
ANN M BOGDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
140 OLD WILLOW MILL RD, MECHANICSBURG, PA 17050-1816
(717) 766-4635
(717) 766-4818
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD044266E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016973100003
—
PA
Enumeration date
05/01/2006
Last updated
02/24/2020
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