Organization
CEREBRAL MEDICAL GROUP, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BOGGS MD (PRESIDENT)
(415) 489-9369
Entity
Organization
Contact information
Practice address
820 BEAR TAVERN RD STE 305, EWING, NJ 08628-1021
(415) 403-2156
(415) 651-3458
Mailing address
2093 PHILADELPHIA PIKE # 9898, CLAYMONT, DE 19703-2424
(415) 403-2156
(415) 651-3458
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
10/26/2021
Last updated
10/11/2023
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