Individual
STEVE A BOGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
800 WASHINGTON ST, BOX 115, BOSTON, MA 02111-1552
(617) 636-1112
(617) 636-1115
Mailing address
35 CHERYL DR, SHARON, MA 02067-1118
(617) 636-5422
(617) 636-8302
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
58406
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3089541
—
MA
Enumeration date
02/09/2006
Last updated
01/29/2010
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