Sondra I Bogursky, MD
Internal Medicine in Waterbury, Connecticut
1790711059- Practice location
- 95 Scovill St, 3RD Floor, Waterbury, CT 06706-1113
- Phone
- 203-709-3800
- Fax
- 203-709-3869
- Last updated
- October 19, 2021
Sondra Iacullo Bogursky is an Internal Medicine based in Waterbury, CT. Sondra Iacullo Bogursky practices in Waterbury, CT and has the professional credentials of MD. The NPI Number for Sondra Iacullo Bogursky is 1790711059 and holds a License No. 042480 (CT). The current practice location address for Sondra Iacullo Bogursky is 95 Scovill St, 3RD Floor, Waterbury, CT 06706-1113 and can be reached out via phone at 203-709-3800 and via fax at 203-709-3869.
Provider Profile Details
- NPI Number
- 1790711059
- Provider Name
- Sondra Iacullo Bogursky
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 95 Scovill St, 3RD Floor, Waterbury, CT 06706-1113
- Phone Number
- 203-709-3800
- Fax Number
- 203-709-3869
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 25, 2006
- Last Update Date
- October 19, 2021
- Certification Date
- October 19, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 95 Scovill St
3RD Floor
Waterbury, CT 06706-1113 - City
- Waterbury
- State
- Connecticut
- Zip
- 06706-1113
- Phone Number
- 203-709-3800
- Fax Number
- 203-709-3869
Provider Business Mailing Address Details
- Address
- 56 Franklin St
3RD Floor
Waterbury, CT 06706-1221 - City
- Waterbury
- State
- CT
- Zip
- 06706-1221
- Phone Number
- 203-709-8873
- Fax Number
- 203-709-8689
License Information
- License Number (1)
- 042480
- License State (1)
- CT
- Taxonomy (1)
- Pediatrics · 208000000X
- License Number (2)
- 042480
- License State (2)
- CT
- Taxonomy (2)
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Sondra I Bogursky, MD?
The NPI number of Sondra I Bogursky, MD is 1790711059. It was assigned on June 25, 2006 and is currently active in the NPPES registry.
What is the specialty of Sondra I Bogursky, MD?
Sondra I Bogursky, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in CT under license number 042480.
Where does Sondra I Bogursky, MD practice?
The practice location is 95 Scovill St, 3RD Floor, Waterbury, CT 06706-1113. The office can be reached at 203-709-3800 (phone) or 203-709-3869 (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 1790711059 directly on the NPPES registry website.