John J Bogannam


Address: 4154 Madison Ave, Trumbull, CT 06611-3563
Phone: 2033745560

John J Bogannam (NPI# 1821106154, PAC ID# 2769569318) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.

Physician Overview

Nation Provider ID (NPI) 1821106154
PAC ID by PECOS 2769569318
Professional Enrollment ID I20080407000183
Full Name John J Bogannam
Address 4154 Madison Ave
Trumbull
CT 06611-3563
Phone Number 2033745560
Gender M
Medical School NORTHWESTERN COLLEGE OF CHIROPRACTIC
Graduation Year 1984
Primary Specialty CHIROPRACTIC
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
4154 Madison Ave, Trumbull, CT 06611-3563 2033745560

Organization Information

Office Location

Street Address 4154 MADISON AVE
City TRUMBULL
State CT
Zip 06611-3563

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Competitor

Search similar physicians

City TRUMBULL
Zip Code 06611
Specialty CHIROPRACTIC
City + Specialty TRUMBULL + CHIROPRACTIC

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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