Individual
BELLA C. VOGT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
736 CAMBRIDGE ST, BRIGHTON, MA 02135-2907
(617) 789-2045
(617) 779-6760
Mailing address
960 MASSACHUSETTS AVENUE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
2847
CT
363AS0400X
Surgical Physician Assistant
PA60410091
WA
363AS0400X
Surgical Physician Assistant
Primary
PA6151
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA6151
—
MA
Enumeration date
10/28/2012
Last updated
03/06/2025
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