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Contact Information

JACK BOGHOSSIAN, MD
631 BROADWAY
BAYONNE, NJ07002-3846
 Phone: 973-364-2682
 Fax: 973-364-1430
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Infectious Disease

207RI0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JACK BOGHOSSIAN · (Male)

NPI # 1083666010
Status Active
Credentials MD
Entity Individual
Enumeration date 05/17/2006
Last updated 03/26/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # MA81581
  • NJ Medicaid 4555104
Hospital affiliation(s)
  • BAYONNE HOSPITAL CENTER - (Acute Care)
    29 EAST 29TH ST
    BAYONNE, NJ 07002
  • LIBERTYHEALTH-JERSEY CITY MEDICAL CENTER CAMPUS - (Acute Care)
    355 GRAND STREET
    JERSEY CITY, NJ 07302
  • SAINT MICHAEL'S MEDICAL CENTER INC - (Acute Care)
    111 CENTRAL AVENUE
    NEWARK, NJ 07102
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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