# SHARON A BOGERTY MD INC

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

## Provider details

- **NPI number:** 1942797378
- **Authorized official:** SHARON A BOGERTY MD (PRESIDENT)
- **Authorized official phone:** (408) 971-4994

## Contact information

- **Practice address:** 105 N BASCOM AVE STE 101B, SAN JOSE, CA 95128-1811
- **Practice address phone:** (408) 971-4997
- **Practice address fax:** (408) 971-4998
- **Mailing address:** 105 N BASCOM AVE STE 101B, SAN JOSE, CA 95128-1811
- **Mailing address phone:** (408) 971-4997

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | G27618 | CA | Yes |

## Other

- **Enumeration date:** 04/20/2018
- **Last updated:** 04/20/2018