Bogue, Jarrod Terrence

Bogue, Jarrod Terrence is an individual health care provider with primary practice located at 161 Ft Washingtn Ave Fl 5 , New York NY 10032-3729. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Bogue, Jarrod Terrence can be contacted via phone (212) 342-3704.

Contact Information

Primary practice address
161 Ft Washingtn Ave Fl 5 New York NY 10032-3729
Phone: (212) 342-3704
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 307899 New York

Profile Details

NPI number 1619364882
LBN Legal business name Bogue, Jarrod Terrence
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2015
Last updated Mar 16th, 2022 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1619364882 NPPES
New York Other 307899 MEDICAL LICENSE

Popular Providers