Active NPIIndividual providerSole proprietor

Dr. Craig M Bogdanski, DO

Internal Medicine in Southington, Connecticut

NPI Number1710986906
Practice location
825 Meriden Waterbury Tpke, Southington, CT 06489-4156
Fax
860-621-2789
Last updated
March 24, 2009

Craig M Bogdanski is an Internal Medicine based in Southington, CT. Craig M Bogdanski practices in Southington, CT and has the professional credentials of DO. The NPI Number for Craig M Bogdanski is 1710986906 and holds a License No. 039027 (CT). The current practice location address for Craig M Bogdanski is 825 Meriden Waterbury Tpke, Southington, CT 06489-4156 and can be reached out via phone at 860-621-2673 and via fax at 860-621-2789.

Provider Profile Details

NPI Number
1710986906
Provider Name
Craig M Bogdanski
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
825 Meriden Waterbury Tpke, Southington, CT 06489-4156
Phone Number
860-621-2673
Fax Number
860-621-2789
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 19, 2005
Last Update Date
March 24, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
825 Meriden Waterbury Tpke
Southington, CT 06489-4156
Zip
06489-4156
Phone Number
860-621-2673
Fax Number
860-621-2789
Southington, CT 06489Get directions →

Provider Business Mailing Address Details

Address
365 Winding Rdg
Southington, CT 06489-2180
City
Southington
State
CT
Zip
06489-2180
Phone Number
860-620-0801

License Information

License Number
039027
License State
CT
Taxonomy
Internal Medicine · 207R00000X · 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 Dr. Craig M Bogdanski, DO?

The NPI number of Dr. Craig M Bogdanski, DO is 1710986906. It was assigned on July 19, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Craig M Bogdanski, DO?

Dr. Craig M Bogdanski, DO is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in CT under license number 039027.

Where does Dr. Craig M Bogdanski, DO practice?

The practice location is 825 Meriden Waterbury Tpke, Southington, CT 06489-4156. The office can be reached at 860-621-2673 (phone) or 860-621-2789 (fax).

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 1710986906 directly on the NPPES registry website.

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