Individual
DR. JOSEPH PETER BOGLIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 BELLE TERRE ROAD, STE 110, PORT JEFFERSON, NY 11777-1928
(631) 476-1010
(631) 642-0105
Mailing address
200 BELLE TERRE ROAD, STE 110, PORT JEFFERSON, NY 11777-1928
(631) 476-1010
(631) 642-9805
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
219312
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2120125
VYTRA
NY
01
—
7293637
AETNA
NY
01
—
7X2132
EMPIRE BCBS
NY
01
—
P00161349
RAILROAD MEDICARE
NY
01
—
PRV0004554
MONTEFIORE
NY
Enumeration date
08/12/2006
Last updated
01/31/2013
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