Individual
MRS. ASHLEY MARIE BOGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
184 EAST ST, PLAINVILLE, CT 06062-2913
(860) 747-5766
(860) 747-2028
Mailing address
3606 RIVER RD, MIDDLETOWN, CT 06457-5709
(860) 306-0655
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3387
CT
Other
Enumeration date
07/10/2015
Last updated
03/31/2020
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