Healthcare Provider Details

I. General information

NPI: 1992012389
Provider Name (Legal Business Name): RHONDA MAXINE BOGGI NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2010
Last Update Date: 02/01/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

680 BLAIR MILL RD
HORSHAM PA
19044-2223
US

IV. Provider business mailing address

680 BLAIR MILL RD
HORSHAM PA
19044-2223
US

V. Phone/Fax

Practice location:
  • Phone: 908-590-0655
  • Fax:
Mailing address:
  • Phone: 908-590-0655
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number305367
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: