Gerard Edward-Zac Bogucki in Collinsville - General Practice
Gerard Edward-Zac Bogucki - NPI 1710092432
Gerard Edward-Zac Bogucki is a General Practice in Collinsville, Connecticut. Gerard Edward-Zac Bogucki practices all healthcare services and medical treatments related to General Practice. The NPI Number for Gerard Edward-Zac Bogucki is 1710092432. The last update date is 2007-07-08.
Gerard Edward-Zac Bogucki's current location address is 66 Maple Avenue, Collinsville, Connecticut. You can contact this provider via phone number 8606938314 and fax number 8606934426. The mailing address for Gerard Edward-Zac Bogucki is 66 Maple Avenue, Collinsville, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gerard Edward-Zac Bogucki |
|---|---|
| Address | 66 Maple Avenue, Collinsville, Connecticut |
| Phone Number | 8606938314 |
| Fax Number | 8606934426 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1710092432 |
|---|---|
| Provider Enumeration Date | 2006-08-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 66 Maple Avenue |
|---|---|
| City | Collinsville |
| State | Connecticut (CT) |
| Post Code | 6019 |
| Phone Number | 8606938314 |
| Fax Number | 8606934426 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 5072 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the Gerard Edward-Zac Bogucki's unique identification number?
The Gerard Edward-Zac Bogucki has been assigned the NPI (National Provider Identifier) Number 1710092432 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Gerard Edward-Zac Bogucki's physical address?
The Gerard Edward-Zac Bogucki is physically located at 66 Maple Avenue, in the city of Collinsville, CT, with the postal code 6019.
What is Gerard Edward-Zac Bogucki's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Gerard Edward-Zac Bogucki is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
On what date did Gerard Edward-Zac Bogucki receive its 1710092432 assignment from the Centers for Medicare & Medicaid Services?
The Gerard Edward-Zac Bogucki was assigned its 1710092432 on 2006-08-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Gerard Edward-Zac Bogucki most recently updated?
The details pertaining to the Gerard Edward-Zac Bogucki, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.