# STANLEY D BOSTA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1083686034
- **Gender:** Man
- **Credential:** DPM

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | SC001840L | PA | Yes |

## Other

- **Enumeration date:** 02/03/2006
- **Last updated:** 01/15/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0004303232 | AETNA PIN | PA |
| 05 | — | 0005069140004 | — | PA |
| 01 | — | 1015184 | GATEWAY HMO PROV NUMBER | PA |
| 01 | — | 1156610001 | DMERC PROVIDER NUMBER | PA |
| 01 | — | 1205011277 | DMERC NPI | PA |
| 01 | — | 1382437 | HIGHMARK GROUP NUMBER | PA |
| 01 | — | 1710912845 | RR MEDICARE GROUP NPI | PA |
| 01 | — | 63793 | HIGHMARK INDIVIDUAL PROV\# | PA |