Individual
ANGELA J BOGART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19 ROBINSON RD, CLINTON, NY 13323-1418
(315) 853-6090
Mailing address
157 CHIPMAN CORNERS RD, GROTON, NY 13073-9437
(315) 853-6090
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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