Individual
ROBERT DARIUSZ BOGACKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
546 CROMWELL AVE, SUITE 201, ROCKY HILL, CT 06067-1857
(860) 257-9600
(860) 257-9696
Mailing address
546 CROMWELL AVE, SUITE 201, ROCKY HILL, CT 06067-1800
(860) 257-9600
(860) 257-9696
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
044576
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001445768
—
CT
01
—
0100044576CT02
ANTHEM
CT
01
—
044576
CONNECTICARE
CT
01
—
3V1527
HEALTHNET
CT
Enumeration date
08/03/2006
Last updated
06/22/2021
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