Individual provider · Type 1 NPI
Jarrod Terrence Bogue, MD
Plastic and Reconstructive Surgery Physician · New York, NY
NPI number
1619364882
Active
Practice location
161 Ft Washingtn Ave Fl 5
New York, NY 10032-3729
Mailing address
161 Fort Washington Ave Fl 5
New York, NY 10032-3729
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | 307899 (NY) |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
2 other providers at this address
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About NPI 1619364882
Jarrod Terrence Bogue, MD's National Provider Identifier is 1619364882, issued on Apr 24, 2015. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in New York, NY. The record was last updated on Mar 16, 2022.