NPI Profile for Dr JARROD T BOGUE in NEW YORK, NY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Plastic and Reconstructive Surgery |
2086S0122X | 02 | Physician/General Surgery | |
Student in an Organized Health Care Education/Training Program |
390200000X |
| NPI Number | 1619364882 |
|
| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 04/24/2015 | |
| Last updated | 03/16/2022 - About 4 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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JARROD T BOGUE
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