| Ronald Bugaoan Md Llc | |
|
225 Water St Ste A140 Plymouth MA 02360-6248 | |
| (617) 817-2833 | |
| (781) 987-9286 |
| Full Name | Ronald Bugaoan Md Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 225 Water St Ste A140, Plymouth, Massachusetts |
| Authorized Official Name and Position | Ronald E Bugaoan (OWNER) |
| Authorized Official Contact | 6178172833 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald Bugaoan Md Llc 225 Water St Ste A140 Plymouth MA 02360-6248 Ph: (617) 817-2833 | Ronald Bugaoan Md Llc 225 Water St Ste A140 Plymouth MA 02360-6248 Ph: (617) 817-2833 |
| NPI Number | 1427673136 |
|---|---|
| Provider Enumeration Date | 06/09/2020 |
| Last Update Date | 03/30/2021 |
| Certification Date | 03/30/2021 |
| Medicare PECOS PAC ID | 2365864675 |
|---|---|
| Medicare Enrollment ID | O20200615001706 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427673136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Ronald E Bugaoan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861551236 PECOS PAC ID: 8022106376 Enrollment ID: I20071120000299 |
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