Individual
DR. DAVID F BOGACKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3 COOPER PLZ, SUITE 307, CAMDEN, NJ 08103-1438
(856) 342-2328
(856) 541-6137
Mailing address
1 FEDERAL ST # 200, CAMDEN, NJ 08103-1088
(856) 356-4924
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35SI00177700
NJ
2084P0802X
Addiction Psychiatry Physician
SI00177700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001664070
AMERIHEALTH PPO
—
01
—
010003754
AMERICHOICE
—
01
—
0101145000
AMERIHEALTH HMO, KEYSTONE, IBC
—
01
—
1127825
HORIZON NJ HEALTH
—
05
—
1339303
—
NJ
01
—
24702
UNIVERSITY HEALTHPLAN
—
01
—
293304000
MAGELLAN
—
01
—
4528678
AETNA
—
01
—
620004717
RR MEDICARE
—
Enumeration date
10/11/2006
Last updated
11/20/2019
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