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Individual

GREGORY G. BOJRAB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
152 WITTENBRAKER AVE, NEW CASTLE, IN 47362-5000
(765) 599-3100
(765) 518-5365
Mailing address
PO BOX 485, NEW CASTLE, IN 47362-0485
(765) 521-1516
(765) 599-3131

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01034797A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000112527
ANTHEM PIN#
IN
01
110215617
MEDICARE RAILROAD #
IN
05
200026740
IN
05
200311740F
IN
01
4044692
AENTA PIN#
IN
Enumeration date
08/15/2005
Last updated
09/09/2020
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