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Individual

ROBERT M. BOGDASARIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
460 SOUTHBRIDGE ST, AUBURN, MA 01501-2442
(774) 221-5135
(774) 221-5136
Mailing address
630 PLANTATION ST, WORCESTER, MA 01605-2038
(508) 368-5532

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA4961
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110105900A
MA
Enumeration date
03/12/2014
Last updated
03/01/2022
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