Organization
JOSEH P BOGLIA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH PETER BOGLIA MD (PRESIDENT)
(631) 476-1010
Entity
Organization
Contact information
Practice address
200 BELLE TERRE RD, SUITE 110, PORT JEFFERSON, NY 11777-1928
(631) 473-1010
Mailing address
200 BELLE TERRE RD, SUITE 110, PORT JEFFERSON, NY 11777-1928
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
10/22/2009
Last updated
10/22/2009
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