Search › Connecticut › 111N00000X
John Bogannam, DC
NPI 1821106154 · on the registry since 2006
Practice
- Address
- 4154 Madison Avenue
Trumbull, CT 06611 - Phone
- (203) 374-5560
- Fax
- (203) 374-0736
- Organisation at this address
- Primed, Llc
Dental Associate Group Llc
Foot Specialists Of Trumbull Llc
Aftercare Physical Therapy Services LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut