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Individual
MICHAEL V. BOSCO
Active
Individual
MICHAEL V. BOSCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00632600
NJ
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
25MP00632600
NJ
Other
Enumeration date
05/24/2021
Last updated
04/15/2026
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