Agata M Bogusz, MD | |
3400 Spruce St, 6.036 Gates, Philadelphia, PA 19104-4238 | |
(215) 615-6510 | |
Not Available |
Full Name | Agata M Bogusz |
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Gender | Female |
Speciality | Pathology - Clinical Pathology/laboratory Medicine |
Location | 3400 Spruce St, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891998407 | NPI | - | NPPES |
BP1-0026465 | Other | INSTITUTIONAL PERMIT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0105X | Pathology - Clinical Pathology/laboratory Medicine | MD450012 (Pennsylvania) | Primary |
Entity Name | University Of Penn-medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235527342 PECOS PAC ID: 6204730955 Enrollment ID: O20141111000091 |
Mailing Address | Practice Location Address |
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Agata M Bogusz, MD 3400 Spruce St, 6.036 Gates, Philadelphia, PA 19104-4238 Ph: (215) 615-6510 | Agata M Bogusz, MD 3400 Spruce St, 6.036 Gates, Philadelphia, PA 19104-4238 Ph: (215) 615-6510 |
Jason Nathaniel Rosenbaum, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 800 Spruce St, Philadelphia, PA 19107 Phone: 215-829-3000 Fax: 215-829-7564 | |
Donghwa Baek, Pathology Medicare: Not Enrolled in Medicare Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-316-5151 | |
Dr. Vivianna Maia Van Deerlin, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce Street, 7.103 Founders Pavillion, Philadelphia, PA 19104 Phone: 215-662-6550 Fax: 215-662-7529 | |
Zissimos Mourelatos, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 800 Spruce St, Philadelphia, PA 19107 Phone: 215-829-3000 Fax: 215-829-7564 | |
Mariusz A Wasik, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 333 Cottman Ave, Philadelphia, PA 19111 Phone: 215-728-3675 Fax: 215-728-2848 | |
Adrienne Catharine Carruth Griffin, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 3400 Spruce St, 1 Maloney Building, Philadelphia, PA 19104 Phone: 215-662-4829 | |
Tirumala Lakshmi Kumari Pentakota, M.D Pathology Medicare: Not Enrolled in Medicare Practice Location: 245 N 15th St, Mail Stop 435, Philadelphia, PA 19102 Phone: 215-762-1179 |