NPI 1003561986 · live from the CMS NPI Registry
Stasia C Bogacz, PA-C
Physician Assistant in Concord, NH. National Provider Identifier 1003561986, active.
NPI record
| NPI | 1003561986 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 264 Pleasant St, Concord, NH 03301 |
| Practice phone | 603-224-3368 |
| Enumerated | February 18, 2022 |
| Last updated | January 3, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | 2915 (NH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.