IndividualActive
Alfred Bogucki, M.D.
NPI 1740219955 · Trauma Surgery Physician · Philadelphia, PA
Provider details
- NPI number
- 1740219955
- Entity type
- Individual
- Primary specialty
- Trauma Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD042361E (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3998 Red Lion Rd
Suite 211
Philadelphia, PA 19114-1445
Phone: (215) 824-4559
Fax: (215) 612-9220
Approximate (ZIP-level) locationGet directions
Mailing address
P. O. Box 8500 - 6335
Philadelphia, PA 19178-6335
Registry dates
- Enumerated
- 2006-07-01
- Last updated
- 2011-09-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.