# BOGDAN SURGERY CENTER PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780917690
- **Authorized official:** DR. SERGEY BOGDAN M.D. (OWNER)
- **Authorized official phone:** (732) 577-9126

## Contact information

- **Practice address:** 112 PROFESSIONAL VIEW DR BLDG 100, FREEHOLD, NJ 07728-7902
- **Practice address phone:** (732) 577-9126
- **Practice address fax:** (732) 577-9127
- **Mailing address:** 62 KEUNE CT, STATEN ISLAND, NY 10304-1431
- **Mailing address phone:** (718) 265-7700
- **Mailing address fax:** (718) 265-7701

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/09/2009
- **Last updated:** 05/26/2020