Individual
MR. CHARLES P BROGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPAC
Contact information
Practice address
32 E JACKSON AVE, BABYLON, NY 11702-4209
(631) 321-5875
(631) 321-5875
Mailing address
32 E JACKSON AVE, BABYLON, NY 11702-4209
(631) 321-5875
(631) 321-5875
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NY
Other
Enumeration date
09/20/2006
Last updated
09/15/2009
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