Active NPIIndividual provider

Marisa L Bogdonoff

Specialist/Technologist, Athletic Trainer in Storrs, Connecticut

NPI Number1700536265
Practice location
7 Club House Cir Apt B, Storrs, CT 06268-1637
Fax
—
Last updated
March 28, 2022

Marisa Lynn Bogdonoff is a Specialist/Technologist, Athletic Trainer based in Storrs, CT. Marisa Lynn Bogdonoff practices in Storrs, CT. The NPI Number for Marisa Lynn Bogdonoff is 1700536265. The current practice location address for Marisa Lynn Bogdonoff is 7 Club House Cir Apt B, Storrs, CT 06268-1637 and can be reached out via phone at 973-876-3260.

Provider Profile Details

NPI Number
1700536265
Provider Name
Marisa Lynn Bogdonoff
Provider Entity Type
Individual
Gender
Female
Address
7 Club House Cir Apt B, Storrs, CT 06268-1637
Phone Number
973-876-3260
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
No
Provider Enumeration Date
March 28, 2022
Last Update Date
March 28, 2022
Certification Date
March 28, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
7 Club House Cir Apt B
Storrs, CT 06268-1637
City
Storrs
Zip
06268-1637
Phone Number
973-876-3260
Storrs, CT 06268Get directions →

Provider Business Mailing Address Details

Address
7 Club House Cir Apt B
Storrs, CT 06268-1637
City
Storrs
State
CT
Zip
06268-1637
Phone Number
973-876-3260

License Information

Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Marisa L Bogdonoff?

The NPI number of Marisa L Bogdonoff is 1700536265. It was assigned on March 28, 2022 and is currently active in the NPPES registry.

What is the specialty of Marisa L Bogdonoff?

Marisa L Bogdonoff is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X).

Where does Marisa L Bogdonoff practice?

The practice location is 7 Club House Cir Apt B, Storrs, CT 06268-1637. The office can be reached at 973-876-3260 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1700536265 directly on the NPPES registry website.

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