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Contact Information

CRAIG M BOGDANSKI, DO
825 MERIDEN WATERBURY TPKE
SOUTHINGTON, CT06489-4156
 Phone: 860-621-2673
 Fax: 860-621-2789
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for CRAIG M BOGDANSKI · (Male)

NPI Number 1710986906
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/19/2005
Last updated 03/24/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 039027
  • CT Medicaid 001390278
  • CT Other 040039027CT02 BLUE CROSS/BLUE SHIELD
Hospital affiliation(s)
  • BRISTOL HOSPITAL - (Acute Care)
    BREWSTER RD
    BRISTOL, CT 06010
  • GRIFFIN HOSPITAL - (Acute Care)
    130 DIVISION ST
    DERBY, CT 06418
  • HOSPITAL OF CENTRAL CONNECTICUT THE - (Acute Care)
    100 GRAND STREET
    NEW BRITAIN, CT 06050
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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