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Individual
KENNETH W. BOSCHA
Active
Individual
KENNETH W. BOSCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD030863E
PA
208M00000X
Hospitalist Physician
Primary
MD030863E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010065370003
—
PA
Enumeration date
07/26/2006
Last updated
10/05/2015
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