Individual
ANTHONY JOSEPH BOGUSLAWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
435 LEWIS AVE, MERIDEN, CT 06451-2101
(203) 694-8200
Mailing address
3 FARMSTEAD LN, FARMINGTON, CT 06032-2819
(860) 280-7179
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AS0400X
Surgical Physician Assistant
4280
CT
Other
Enumeration date
08/09/2018
Last updated
04/05/2022
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