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Contact Information

SONDRA I BOGURSKY, MD
95 SCOVILL ST
3RD FLOOR
WATERBURY, CT06706-1113
 Phone: 203-709-3800
 Fax: 203-709-3869
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for SONDRA I BOGURSKY · (Female)

NPI Number 1790711059
Status Active
Credentials MD
Entity Individual
Enumeration date 06/25/2006
Last updated 10/19/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 042480
  • CT Medicaid 001424803
  • CT Other 3689809/7698594 AETNA
  • CT Other 010042480CT01 ANTHEM BCBS CT
  • CT Other PENDING RAILROAD MEDICARE
  • CT Other 24-70412 UHC
  • CT Other 965608 USA
  • CT Other 246269 WELLCARE
Hospital affiliation(s)
  • SAINT MARYS HOSPITAL - (Acute Care)
    56 FRANKLIN ST
    WATERBURY, CT 06706
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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