Bogue, Clifford W
Bogue, Clifford W is an individual health care provider with primary practice located at 20 York St Yale-New Haven Children'S Hospital-Wp, New Haven CT 06510-3220. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as his primary health care specialty. Bogue, Clifford W can be contacted via phone (203) 785-4651.Contact Information
Primary practice address
20 York St Yale-New Haven Children'S Hospital-Wp
New Haven CT 06510-3220
Phone: (203) 785-4651
Fax: (203) 737-2786
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 031657 | Connecticut |
Profile Details
| NPI number | 1245211556 |
|---|---|
| LBN Legal business name | Bogue, Clifford W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 14th, 2005 |
| Last updated | May 22nd, 2008 - about 16 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 | 1245211556 | NPPES |
| Connecticut | MEDICAID | 001316571 |
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