# DR. JOHN BOSCHETTI

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

## Provider details

- **NPI number:** 1528147410
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 05004442L | PA | Yes |

## Other

- **Enumeration date:** 11/03/2006
- **Last updated:** 07/27/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0032117001 | KEYSTONE | PA |
| 05 | — | 1071929 | — | PA |
| 01 | — | 477697 | HIGHMARK BLUE SHIELD | PA |
| 01 | — | 5795035 | AETNA | PA |