Bogusz, Agata M
Bogusz, Agata M is an individual health care provider with primary practice located at 3400 Spruce St 6.036 Gates, Philadelphia PA 19104-4238. She recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, which is considered as her primary health care specialty. Bogusz, Agata M can be contacted via phone (215) 615-6510.Contact Information
Primary practice address
3400 Spruce St 6.036 Gates
Philadelphia PA 19104-4238
Phone: (215) 615-6510
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine | 207ZP0105X | MD450012 | Pennsylvania |
Profile Details
| NPI number | 1891998407 |
|---|---|
| LBN Legal business name | Bogusz, Agata M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2007 |
| Last updated | Oct 15th, 2013 - 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 | 1891998407 | NPPES |
| Other | BP1-0026465 | INSTITUTIONAL PERMIT |
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