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Individual

DAVID BOGUTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1000 SOUTH AVE, ROCHESTER, NY 14620-2733
(585) 473-2200
Mailing address
339 WHISPERING PINES CIR, ROCHESTER, NY 14612-2789
(585) 236-6534

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
10/29/2020
Last updated
10/29/2020
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