# BRUNSWICK GASTROENTEROLOGY ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245248970
- **Authorized official:** DR. JOHN JAY BOSCO M.D. (PHYSICIAN)
- **Authorized official phone:** (207) 725-1355

## Contact information

- **Practice address:** 121 MEDICAL CENTER DR, SUITE 3400, BRUNSWICK, ME 04011-2653
- **Practice address phone:** (207) 725-1355
- **Practice address fax:** (207) 729-1457
- **Mailing address:** 121 MEDICAL CENTER DR, SUITE 3400, BRUNSWICK, ME 04011-2653
- **Mailing address phone:** (207) 725-1355
- **Mailing address fax:** (207) 729-1457

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | — | NULL | Yes |
| 207RG0100X | Gastroenterology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/05/2006
- **Last updated:** 08/22/2020