Bogart, Lee H

Bogart, Lee H is an individual health care provider with primary practice located at 33 W Chester Pike , Ridley Park PA 19078-2035. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Bogart, Lee H can be contacted via phone (610) 521-2012.

Contact Information

Primary practice address
33 W Chester Pike Ridley Park PA 19078-2035
Fax: (610) 521-3753
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X MD037855E Pennsylvania

Profile Details

NPI number 1679554380
LBN Legal business name Bogart, Lee H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Sep 15th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679554380 NPPES
Pennsylvania MEDICAID 0013009050001

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