Individual
MICHAEL A BOGDASARIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
161 RIVERSIDE DR, SUITE 105, BINGHAMTON, NY 13905-4176
(607) 770-9471
(607) 797-4699
Mailing address
161 RIVERSIDE DR, SUITE 105, BINGHAMTON, NY 13905-4176
(607) 770-9471
(607) 797-4699
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
118455
NY
2086S0129X
Vascular Surgery Physician
118455
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00373042
—
NY
Enumeration date
02/08/2006
Last updated
08/03/2007
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