Provider Demographics
NPI:1982395489
Name:BOGATI, SUNIL
Entity Type:Individual
Prefix:MR
First Name:SUNIL
Middle Name:
Last Name:BOGATI
Suffix:
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:SUNIL
Other - Middle Name:
Other - Last Name:BOGATI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:25 POCONO RD. ST. CLARE'S HOSPITAL,
Mailing Address - Street 2:
Mailing Address - City:DENVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07834
Mailing Address - Country:US
Mailing Address - Phone:973-983-5583
Mailing Address - Fax:973-983-2236
Practice Address - Street 1:25 POCONO RD. ST. CLARE'S HOSPITAL,
Practice Address - Street 2:
Practice Address - City:DENVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07834
Practice Address - Country:US
Practice Address - Phone:973-983-5583
Practice Address - Fax:973-983-2236
Is Sole Proprietor?:No
Enumeration Date:2023-05-16
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program