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Individual
ALFRED R. BOGUCKI
Active
Individual
ALFRED R. BOGUCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
MD042361E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014120170011
—
PA
01
—
01412017-02
AMERICHOICE
PA
01
—
020030561
RAILROAD MEDICARE
PA
01
—
065584000
KEYSTONE IBC
PA
01
—
1105258
CIGNA
PA
01
—
1555030
UNITED HEALTHCARE
PA
01
—
20045179
AMERIHEALTH
PA
01
—
30017961
KEYSTONE MERCY
PA
01
—
34799
HEALTH PARTNERS
PA
01
—
3658357
AETNA HMO
PA
01
—
746506
HIGHMARK BLUE SHIELD
PA
01
—
PA0025546
TRICARE
PA
Enumeration date
07/01/2006
Last updated
09/29/2011
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