# ALFRED R. BOGUCKI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1740219955
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0127X | Trauma Surgery Physician | MD042361E | PA | Yes |

## Other

- **Enumeration date:** 07/01/2006
- **Last updated:** 09/29/2011

## 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 |