Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACK BOGHOSSIAN, M.D.
Active Sole ProprietorDR. JACK BOGHOSSIAN, M.D. is a Infectious Disease healthcare provider located in BAYONNE, New Jersey. NPI 1083666010 is currently active in the NPPES registry. Verify at CMS.
Infectious Disease · BAYONNE, NJ
Registration Details
- NPI Number
- 1083666010
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 17, 2006 (20.253851282171 yrs)
- Last Updated
- Mar 26, 2015
- License
-
MA81581 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
631 BROADWAYBAYONNE, NJ, 070023846Browse NJ providers · Browse ZIP 07002
- Phone
- 9733642682
- Fax
- 9733641430
- Primary Specialty
-
Infectious Disease
207RI0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.