Individual
DR. LINDA J. BOGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2921 TELESTAR CT, SUITE 140, FALLS CHURCH, VA 22042-1205
(703) 280-5858
(703) 849-0874
Mailing address
2921 TELESTAR CT, SUITE 140, FALLS CHURCH, VA 22042-1205
(703) 280-5858
(703) 849-0874
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD057768L
PA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD057768L
PA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
ME139848
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0036391
—
NJ
05
—
101060534
—
PA
Enumeration date
07/19/2006
Last updated
06/11/2019
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