Basic Information
Provider Information
NPI: 1902253891
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BOEGLIN
FirstName: AUGUST
MiddleName: HILL
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 829641
Address2:  
City: PHILADELPHIA
State: PA
PostalCode: 191820001
CountryCode: US
TelephoneNumber: 2673705295
FaxNumber: 2152303725
Practice Location
Address1: 595 W STATE ST
Address2:  
City: DOYLESTOWN
State: PA
PostalCode: 189012554
CountryCode: US
TelephoneNumber: 2153452885
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/20/2016
LastUpdateDate: 10/01/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000XMD467949PAY Allopathic & Osteopathic PhysiciansPediatrics 

No ID Information.


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