Individual
DR. RONALD NICHOLAS BOGDASARIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
417 STATE STREET, WEBBER WEST, SUIT 443, BANGOR, ME 04401
(978) 340-0311
Mailing address
43 WHITING HILL RD STE 300, BREWER, ME 04412-1006
(207) 973-5000
(207) 973-5042
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
MD24484
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD24484
MAINE MEDICAL LICENSE
ME
Enumeration date
04/01/2015
Last updated
03/11/2022
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