Stasia C Bogacz, PA-C
Physician Assistant in Concord, NH. Individual provider (NPI-1).
NPI number1003561986
StatusActive
Last updated in NPPESJan 3, 2025
Details
- NPI
- 1003561986
- Entity type
- Individual (NPI-1)
- Name
- Stasia C Bogacz
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 18, 2022
- Certification date
- Jan 3, 2025
- Last updated
- Jan 3, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 2915 | NH | Yes |
Practice location
264 Pleasant StConcord, NH 03301-2551
Phone 603-224-3368
Mailing address
264 Pleasant StConcord, NH 03301-2551
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