Individual
JOSEPH DANIEL BOGAARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
1300 JEFFERSON PARK AVE, CHARLOTTESVILLE, VA 22903-3363
(434) 924-5485
(434) 244-9436
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101271485
VA
207W00000X
Ophthalmology Physician
01090167A
IN
207W00000X
Ophthalmology Physician
7652-851
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300078885
—
IN
Enumeration date
03/20/2017
Last updated
05/16/2025
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