Individual provider · Type 1 NPI
Dominic Bogucki, ATC, PA-C
Surgical Physician Assistant · Norristown, PA
NPI number
1265970669
Active
Practice location
170 W Germantown Pike
Norristown, PA 19401-1389
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| Surgical Physician Assistant Primary | 363AS0400X | MA064456 (PA) |
Surgical Physician Assistant: Definition to come...
2 other providers at this address
About NPI 1265970669
Dominic Bogucki, ATC, PA-C's National Provider Identifier is 1265970669, issued on Feb 6, 2017. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Norristown, PA. The record was last updated on Dec 6, 2023.