Organization
NJ - S BOGDAN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SERGEY V BOGDAN MD (OWNER)
(732) 553-1214
Entity
Organization
Contact information
Practice address
200 PERRINE RD STE 224, OLD BRIDGE, NJ 08857-2836
(732) 553-1214
(732) 553-1215
Mailing address
62 KEUNE CT, STATEN ISLAND, NY 10304-1431
(718) 265-7700
(718) 265-7701
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
05/07/2008
Last updated
01/16/2020
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