Female

Stasia C. Bogacz PA-C

Physician Assistant in New Brunswick, NJ(View on Map)

Full Name

Stasia Christine Bogacz PA-C

NPI Number

1003561986

NPI Type

Individual Provider

Gender

Female

Enumeration Date

02/18/2022

Specialties

(Taxonomies)

Code

363A00000X

Primary Taxonomy

Yes

Licenses

State

New Jersey

License Number

25MP00692400

Contact
Information

Purpose

Mailing
Location

Address

1 ROBERT WOOD JOHNSON PL
1 ROBERT WOOD JOHNSON PL

City

New Brunswick
New Brunswick

State

NJ
NJ

Postal Code

08901-1928
08901-1928

Country

US
US

Telephone Number

(732) 235-8717
(732) 235-8717

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/13/2022

Provider Address

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