John Peter Rogowski in Bridgeport - Clinical

John Peter Rogowski - NPI 1679620348

John Peter Rogowski is a Clinical in Bridgeport, Connecticut. John Peter Rogowski practices all healthcare services and medical treatments related to Clinical. The NPI Number for John Peter Rogowski is 1679620348. The last update date is 2007-07-09.

John Peter Rogowski's current location address is 2819 Main St, Bridgeport, Connecticut. You can contact this provider via phone number 2033675589 and fax number 2033300838. The mailing address for John Peter Rogowski is 2819 Main St, Bridgeport, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name John Peter Rogowski
Address 2819 Main St, Bridgeport, Connecticut
Phone Number 2033675589
Fax Number 2033300838
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1679620348
Provider Enumeration Date 2007-01-04
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 2819 Main St
City Bridgeport
State Connecticut (CT)
Post Code 66064202
Phone Number 2033675589
Fax Number 2033300838

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 1793
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
338435 CT VALUEOPTIONS
P00039160 CT RAILROAD MEDICARE
1107167 CT MHN
060001793CT02 CT ANTHEM, BCBS,

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FAQs about John Peter Rogowski

What is the John Peter Rogowski's unique identification number?

The John Peter Rogowski has been assigned the NPI (National Provider Identifier) Number 1679620348 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where John Peter Rogowski's facilities are situated?

The facilities of John Peter Rogowski are physically located at the following address: 2819 Main St, Bridgeport, CT, 66064202.

What is John Peter Rogowski's specialized field of practice, and what is the corresponding taxonomy classification code?

The John Peter Rogowski's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1679620348 to John Peter Rogowski?

The Centers for Medicare & Medicaid Services originally issued the 1679620348 to John Peter Rogowski on 2007-01-04.

As of what date were the details related to John Peter Rogowski most recently updated or revised?

The information pertaining to John Peter Rogowski, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.

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