Individual
DR. MICHAEL BOGART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 E RIDGEWOOD AVE STE 303, RIDGEWOOD, NJ 07450-3937
(201) 689-7755
Mailing address
1200 E RIDGEWOOD AVE STE 303, RIDGEWOOD, NJ 07450-3937
(201) 689-7755
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
25MA12247400
NJ
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
312311-01
NY
207RP1001X
Pulmonary Disease Physician
Primary
25MA12247400
NJ
207RP1001X
Pulmonary Disease Physician
312311-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2018
Last updated
08/06/2024
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