Individual
JOHN R. BOGDASARIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
33 ELECTRIC AVE, FITCHBURG, MA 01420-7954
(978) 342-1200
(978) 345-8014
Mailing address
33 ELECTRIC AVENUE, SUITE 202, FITCHBURG, MA 01420
(978) 342-1200
(978) 345-8014
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
33995
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2064111
—
MA
Enumeration date
09/30/2005
Last updated
11/27/2017
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