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1306877048
SANJEEV BONGU
ELKINS PARK, PA
NPI
1306877048
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: PA MD054621L)
Enumeration Date
2006-07-05
Last Update Date
2011-06-10
Business Address
SANJEEV BONGU M.D.
60 TOWNSHIP LINE RD
ELKINS PARK, PA 19027-2220
Phone number: 215-456-6500
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Mailing Address
SANJEEV BONGU M.D.
101 E OLNEY AVE SUITE 400
PHILADELPHIA, PA 19120-2421
Phone number: 215-456-6500
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