Individual
DR. BENJAMIN A BOGUCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
150 TAYLOR STATION RD, SUITE 250, COLUMBUS, OH 43213-4440
(614) 863-3222
Mailing address
150 TAYLOR STATION RD, SUITE 250, COLUMBUS, OH 43213-4440
(614) 863-3222
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
2009009411
MO
207N00000X
Dermatology Physician
Primary
35121262
OH
Other
Enumeration date
09/05/2008
Last updated
01/15/2014
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