Most Relevant Information
Provider Data
| NPI Number: | 1003561986 |
| Provider Name: | STASIA CHRISTINE BOGACZ PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 25MP00692400 |
Most Important Dates
| Enumeration Date: | 02/18/2022 |
| Last Updated: | 06/13/2022 |
Provider Practice Location
1 ROBERT WOOD JOHNSON PL
NEW BRUNSWICK
NJ
089011928
Practice Location Phone/Fax
| Phone: | 7322358717 |
| Fax: |
Provider Mailing Location
1 ROBERT WOOD JOHNSON PL
NEW BRUNSWICK
NJ
089011928
Provider Mailing Phone/Fax
| Phone: | 7322358717 |
| Fax: | 7322357379 |