Individual
RONALD BOGUSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 PAGE ST, NEW BEDFORD, MA 02740-3464
(508) 973-5918
(508) 973-5916
Mailing address
200 MILL RD, SUITE 180, FAIRHAVEN, MA 02719-5252
(508) 973-2000
(508) 973-2001
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
36266
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110047988A
—
MA
05
—
RB56857
—
RI
Enumeration date
03/10/2006
Last updated
11/15/2016
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