Individual
MR. EDWARD BOGOSIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
120 CHESTNUT STREET, RIDGEWOOD, NJ 07450
(201) 444-3550
(201) 652-1613
Mailing address
120 CHESTNUT STREET, RIDGEWOOD, NJ 07450
(201) 444-3550
(201) 652-1613
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05220300
NJ
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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