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Individual

DR. CHRISTOPHER J. BOSARGE

Active
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Individual

DR. CHRISTOPHER J. BOSARGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
ME073699
FL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
ME073699
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009936285
ALABAMA EDS MEDICAID
AL
05
—
268360100
—
FL
01
—
42272
BCBS
FL
01
—
68675
BCBS OF ALABAMA
AL
01
—
P00137401
RR MEDICARE
FL
Enumeration date
05/02/2006
Last updated
11/12/2019
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