Individual
DR. JOHN J BOGANNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4154 MADISON AVENUE, TRUMBULL, CT 06611-3563
(203) 374-5560
(203) 374-0736
Mailing address
4154 MADISON AVENUE, TRUMBULL, CT 06611-3563
(203) 374-5560
(203) 374-0736
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
000493
CT
Other
Enumeration date
08/28/2006
Last updated
07/08/2007
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