Individual
JONATHAN STEPHEN BOGAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 HOWARD AVE, YALE PHYSICIANS BUILDING, NEW HAVEN, CT 06519-1369
(203) 785-2140
(203) 785-6414
Mailing address
300 GEORGE ST, 6TH FLOOR, NEW HAVEN, CT 06536
(203) 785-7998
(203) 785-6414
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
040950
CT
Other
Enumeration date
11/22/2005
Last updated
07/08/2007
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