Dr. Adam R Bogomol, M.D.
Radiology, Diagnostic Radiology in Hackensack, NJ. Individual provider (NPI-1).
NPI number1750366019
StatusActive
Last updated in NPPESApr 9, 2025
Details
- NPI
- 1750366019
- Entity type
- Individual (NPI-1)
- Name
- Dr. Adam R Bogomol
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 9, 2005
- Certification date
- Apr 3, 2025
- Last updated
- Apr 9, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | 25MA07553500 | NJ | Yes |
Practice location
30 S Newman StHackensack, NJ 07601-3210
Phone 201-488-2660
Mailing address
Hackensack Radiology Group130 Kinderkamack Rd Ste 200
River Edge, NJ 07661
Phone 201-488-2660
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