person
Mbembo Bongutu, MD
Family Medicine Physician in Erie, Pennsylvania
NPI 1851393268

Mbembo Bongutu is a Family Medicine Physician based in Erie, PA. Mbembo Bongutu practices in Erie, PA and has the professional credentials of MD. The NPI Number for Mbembo Bongutu is 1851393268 and holds a License No. MD062832L (Pennsylvania).

The current practice location address for Mbembo Bongutu is 201 State St, Erie, PA and can be reached out via phone at 814-877-4922 and via fax at 814-877-3622.

Location: 201 State St, Erie, PA, 16550-0002
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Provider Profile Details
NPI Number
1851393268
Provider Name
Mbembo Bongutu
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
201 State St, Erie, PA, 16550-0002
Phone Number
814-877-4922
Fax Number
814-877-3622
Provider Enumeration Date
08/15/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P001411 01 PA GATEWAY
00026887601 01 NY UNIVERA
01983279 01 NY NY MEDICAL ASSISTANCE
75913 01 PA UNISON
080163990 01 PA RR MEDICARE
323780 01 PA UPMC
1645032 01 PA BLUE SHIELD
2228324 01 OH OHIO MEDICAL ASSISTANCE
0016842690006 05 PA
7441061 01 PA AETNA
institution
Provider Business Practice Location Address Details
Address
201 State St
City
State
Zip
16550-0002
Phone Number
814-877-4922
Fax Number
814-877-3622
person
Provider Business Mailing Address Details
Address
201 State St
City
State
Zip
16550-0002
Phone Number
814-877-4922
Fax Number
814-877-3622
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
MD062832L (Pennsylvania)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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