Bogardus, Sidney T
Bogardus, Sidney T is an individual health care provider with primary practice located at 40 Temple St Suite 4A, New Haven CT 06510-2715. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Bogardus, Sidney T can be contacted via phone (203) 777-0304.Contact Information
Primary practice address
40 Temple St Suite 4A
New Haven CT 06510-2715
Phone: (203) 777-0304
Fax: (203) 401-4687
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 034398 | Connecticut |
Profile Details
| NPI number | 1730131103 |
|---|---|
| LBN Legal business name | Bogardus, Sidney T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2006 |
| Last updated | Feb 14th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730131103 | NPPES |
| Connecticut | MEDICAID | 001343988 |
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