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DOMINIC BOGUCKI, ATC, PA-C

Active

DOMINIC BOGUCKI, ATC, PA-C is a Surgical Physician Assistant healthcare provider located in NORRISTOWN, Pennsylvania. NPI 1265970669 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · NORRISTOWN, PA

Registration Details

NPI Number
1265970669
Provider Type
Individual
Gender
Male
NPI Issued
Feb 6, 2017 (9.5528476824327 yrs)
Last Updated
Dec 6, 2023
License
MA064456 (PA)

Practice Information

Address
170 W GERMANTOWN PIKE
NORRISTOWN, PA, 194011389
Browse PA providers · Browse ZIP 19401
Phone
2156053634
Primary Specialty
Surgical Physician Assistant
363AS0400X
Additional Specialty
Surgical Physician Assistant
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.