Clifford W Bogue
Pediatric Critical Care Doctor
20 York St Yale-New Haven Children's Hospital-Wp
New Haven
, Connecticut 06510-3220
Clifford W Bogue
Pediatric Critical Care Doctor
20 York St Yale-New Haven Children's Hospital-Wp
New Haven
, Connecticut 06510-3220
(203) 785-7998
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About
Features
Specialties
- Pediatric Critical Care Doctor
Languages spoken
- English
Location
First Address
- Clifford W Bogue
- Po Box 9805 300 George Street 6th Floor
- New Haven, CT
- Zip : 06536-0805
- Phone : (203) 785-7998
Second Address
- Clifford W Bogue
- 20 York St Yale-New Haven Children's Hospital-Wp
- New Haven, CT
- Zip : 06510-3220
- Fax : (203) 737-2786
- Phone : (203) 785-4651
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0203X | Pediatric Critical Care Doctor | 031657 | CT |
National Provider Identifier
| NPI | 1245211556 |
|---|---|
| Provider Name | Clifford W Bogue |
| First Address | New Haven, CT 06536-0805 |
| Second Address | New Haven, CT 06510-3220 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/11/2005 |
| Last Update Date | 22/05/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 001316571 | (05) | CT |
| F17853 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.