Active NPIIndividual provider

Dr. Sidney T Bogardus Jr., MD

Internal Medicine, Gastroenterology in New Haven, Connecticut

NPI Number1730131103
Practice location
40 Temple St, Suite 4A, New Haven, CT 06510-2715
Fax
203-401-4687
Last updated
February 14, 2012

Sidney T Bogardus is an Internal Medicine, Gastroenterology based in New Haven, CT. Sidney T Bogardus practices in New Haven, CT and has the professional credentials of MD. The NPI Number for Sidney T Bogardus is 1730131103 and holds a License No. 034398 (CT). The current practice location address for Sidney T Bogardus is 40 Temple St, Suite 4A, New Haven, CT 06510-2715 and can be reached out via phone at 203-777-0304 and via fax at 203-401-4687.

Provider Profile Details

NPI Number
1730131103
Provider Name
Sidney T Bogardus
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
40 Temple St, Suite 4A, New Haven, CT 06510-2715
Phone Number
203-777-0304
Fax Number
203-401-4687
Primary Taxonomy
Internal Medicine, Gastroenterology · 207RG0100X
Sole Proprietor
No
Provider Enumeration Date
May 16, 2006
Last Update Date
February 14, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
40 Temple St
Suite 4A
New Haven, CT 06510-2715
Zip
06510-2715
Phone Number
203-777-0304
Fax Number
203-401-4687
New Haven, CT 06510Get directions →

Provider Business Mailing Address Details

Address
40 Temple St
Suite 4A
New Haven, CT 06510-2715
City
New Haven
State
CT
Zip
06510-2715
Phone Number
203-777-0304
Fax Number
203-401-4687

License Information

License Number
034398
License State
CT
Taxonomy
Internal Medicine, Gastroenterology · 207RG0100X · 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. Sidney T Bogardus Jr., MD?

The NPI number of Dr. Sidney T Bogardus Jr., MD is 1730131103. It was assigned on May 16, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Sidney T Bogardus Jr., MD?

Dr. Sidney T Bogardus Jr., MD is registered under the primary taxonomy Internal Medicine, Gastroenterology (code 207RG0100X), licensed in CT under license number 034398.

Where does Dr. Sidney T Bogardus Jr., MD practice?

The practice location is 40 Temple St, Suite 4A, New Haven, CT 06510-2715. The office can be reached at 203-777-0304 (phone) or 203-401-4687 (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 1730131103 directly on the NPPES registry website.

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