Individual
DOMINIC BOGUCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, PA-C
Contact information
Practice address
170 W GERMANTOWN PIKE, NORRISTOWN, PA 19401-1389
(215) 605-3634
Mailing address
170 W GERMANTOWN PIKE, NORRISTOWN, PA 19401-1389
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
PA
363AS0400X
Surgical Physician Assistant
Primary
MA064456
PA
Other
Enumeration date
02/06/2017
Last updated
12/06/2023
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