MEDICARE: DR. ALEXANDER BOGDASCHEWSKYI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	173000000X	Legal Medicine	D37949	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932178811
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEXANDER BOGDASCHEWSKYI M.D.

Provider Business Mailing Address
First Line	:	1312 CONQUISTADOR DR
Second Line	:
City	:	WESTMINSTER
State	:	MD
Zip	:	21157-3804
Country	:	US
Telephone Number	:	410-848-9329
Fax Number	:	410-848-5950

Provider Business Practice Location Address
First Line	:	1011 BALTIMORE BLVD
Second Line	:
City	:	WESTMINSTER
State	:	MD
Zip	:	21157-7055
Country	:	US
Telephone Number	:	410-848-8256
Fax Number	:	410-848-5950

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/14/2006
Last Update Date	:	11/06/2015

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