Individual
CAROLYN B BOGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
110 LIBERTY ST, BROCKTON, MA 02301
(508) 894-0400
(508) 894-0590
Mailing address
7 HIGH ST, MEDFIELD, MA 02052-3120
(508) 728-1905
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN153493
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110020132A
—
MA
01
—
S400469060
MEDICARE
MA
Enumeration date
09/25/2006
Last updated
06/26/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us