Jack Boghossian in Bayonne - Infectious Disease

Jack Boghossian - NPI 1083666010

Jack Boghossian is a Infectious Disease in Bayonne, New Jersey. Jack Boghossian practices all healthcare services and medical treatments related to Infectious Disease. The NPI Number for Jack Boghossian is 1083666010. The last update date is 2015-03-26.

Jack Boghossian's current location address is 631 Broadway, Bayonne, New Jersey. You can contact this provider via phone number 9733642682 and fax number 9733641430. The mailing address for Jack Boghossian is 631 Broadway, Bayonne, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Jack Boghossian
Address 631 Broadway, Bayonne, New Jersey
Phone Number 9733642682
Fax Number 9733641430
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1083666010
Provider Enumeration Date 2006-05-17
Last Updated Date 2015-03-26

Provider Mailing Address Detail

Address 631 Broadway
City Bayonne
State New Jersey (NJ)
Post Code 700238460
Phone Number 9733642682
Fax Number 9733641430

Provider's Primary Taxonomy Detail

Speciality Infectious Disease
Taxonomy 207Ri0200X
Licence No MA81581
Definition:
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers whi

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4555104 NJ --

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FAQs about Jack Boghossian

What is the unique provider identifier assigned to Jack Boghossian?

The Jack Boghossian has been issued the NPI (National Provider Identifier) 1083666010 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Jack Boghossian's facilities are geographically located?

The facilities of Jack Boghossian are physically situated at the following location: 631 Broadway, Bayonne, NJ, 700238460.

What is Jack Boghossian's area of expertise and its corresponding taxonomy classification?

The Jack Boghossian's field of specialization is Infectious Disease, and it falls under the taxonomy code 207Ri0200X, which categorizes healthcare providers based on their areas of practice.

When did Jack Boghossian receive its 1083666010 assignment?

The Jack Boghossian was assigned its 1083666010 on 2006-05-17, which is the date when this unique identifier was issued to the organization.

When was the information pertaining to Jack Boghossian most recently updated or revised?

The details related to Jack Boghossian, including its address, specialty, and other relevant information, were last updated or revised on 2015-03-26.

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