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Contact Information

MARY M BOGEN, DPM
712 THE RIALTO
VENICE, FL34285-3524
 Phone: 941-488-0222
 Fax: 941-480-1668
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for MARY M BOGEN · (Female)

NPI # 1649288663
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 08/04/2006
Last updated 11/09/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • FL License # PO3104
  • FL Other U1808A RAILROAD MEDICARE
Hospital affiliation(s)
  • CHOCTAW NATION HEALTHCARE - (Acute Care)
    1 CHOCTAW WAY
    TALIHINA, OK 74571
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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