Carolyn B Bogal is a Adult Health in Brockton, Massachusetts. Carolyn B Bogal practices all healthcare services and medical treatments related to Adult Health. The NPI Number for Carolyn B Bogal is 1184725038. The last update date is 2018-06-26.
Carolyn B Bogal's current location address is 110 Liberty St, Brockton, Massachusetts. You can contact this provider via phone number 5088940400 and fax number 5088940590. The mailing address for Carolyn B Bogal is 110 Liberty St, Brockton, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carolyn B Bogal |
|---|---|
| Address | 110 Liberty St, Brockton, Massachusetts |
| Phone Number | 5088940400 |
| Fax Number | 5088940590 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1184725038 |
|---|---|
| Provider Enumeration Date | 2006-09-25 |
| Last Updated Date | 2018-06-26 |
Provider Mailing Address Detail
| Address | 110 Liberty St |
|---|---|
| City | Brockton |
| State | Massachusetts (MA) |
| Post Code | 2301 |
| Phone Number | 5088940400 |
| Fax Number | 5088940590 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Health |
|---|---|
| Taxonomy | 363La2200X |
| Licence No | RN153493 |
|
Definition: An advanced practice registered nurse expert in providing primary and specialty healthcare services to adult patients. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| S400469060 | MA | MEDICARE | |
| 110020132A | MA | -- |
Post Comment/ Review Below
What is the Carolyn B Bogal's unique identification number?
The Carolyn B Bogal has been assigned the NPI (National Provider Identifier) Number 1184725038 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Carolyn B Bogal is physically located?
The Carolyn B Bogal is situated at the following address: 110 Liberty St, Brockton, MA 2301.
What is the Carolyn B Bogal's specialty and taxonomy code?
The Carolyn B Bogal's specialty is Adult Health, and the corresponding taxonomy code is 363La2200X.
On what date did the Carolyn B Bogal receive the assignment of its 1184725038 from the Centers for Medicare & Medicaid Services?
The Carolyn B Bogal was issued its 1184725038 by the Centers for Medicare & Medicaid Services on 2006-09-25.
When was the information related to Carolyn B Bogal most recently updated or refreshed?
The details pertaining to the Carolyn B Bogal, including its address, specialty, and other relevant information, were last updated or refreshed on 2018-06-26.
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