NPI 1508032673
Nj - S Bogdan MD PC
Practice location
- Address
- 200 Perrine Rd STE 224, Old Bridge, NJ 08857-2836
- Phone
- (732) 553-1214
- Fax
- (732) 553-1215
- Mailing address
- 62 Keune CT, Staten Island, NY 10304-1431
Authorised official
- Name
- Sergey V Bogdan
- Title
- Owner
- Phone
- (732) 553-1214
Registered specialties (2)
Interventional Pain Medicine Physician
Primary
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Registry record
- NPI
- 1508032673
- Entity type
- Organization
- NPI issued
- 7 May 2008
- Record last updated
- 16 Jan 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.