Individual
PAUL BOGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
ELM AND CARLTON STREETS, BUFFALO, NY 14263-0001
(716) 845-2300
(716) 845-3427
Mailing address
ELM AND CARLTON STREETS, BUFFALO, NY 14263-0001
(716) 845-2300
(716) 845-3427
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
230797
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
230797
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02639509
—
NY
Enumeration date
06/20/2005
Last updated
12/16/2020
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