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NPI Code Detail

MEDICARE: MS. MAUREEN PATT-BOGUT P.A.

MEDICARE: MS. MAUREEN PATT-BOGUT P.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician AssistantMA051199PA

General Provider Information

NPI Number : 1336241330
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MAUREEN PATT-BOGUT P.A.
Provider Business Mailing Address
First Line : 2325 MARYLAND RD
Second Line : SUITE 120
City : WILLOW GROVE
State : PA
Zip : 19090-1749
Country : US
Telephone Number : 215-957-9250
Fax Number : 215-957-9254
Provider Business Practice Location Address
First Line : 2325 MARYLAND RD
Second Line : SUITE 120
City : WILLOW GROVE
State : PA
Zip : 19090-1749
Country : US
Telephone Number : 215-957-9250
Fax Number : 215-957-9254
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2006
Last Update Date : 10/12/2011

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Directions to “ MS. MAUREEN PATT-BOGUT P.A.” Practice Location

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