# JOHN BOSI DO,PC

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

## Provider details

- **NPI number:** 1528262268
- **Authorized official:** DR. JOHN F BOSI D.O. (OWNER-PHYSICIAN)
- **Authorized official phone:** (570) 669-9818

## Contact information

- **Practice address:** 50 E LOCUST ST, SUITE 1, NESQUEHONING, PA 18240-1310
- **Practice address phone:** (570) 669-9818
- **Practice address fax:** (570) 669-9841
- **Mailing address:** 50 E LOCUST ST, SUITE 1, NESQUEHONING, PA 18240-1310
- **Mailing address phone:** (570) 669-9818
- **Mailing address fax:** (570) 669-9841

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 202C00000X | Independent Medical Examiner Physician | OS007458L | PA | Yes |

## Other

- **Enumeration date:** 06/14/2007
- **Last updated:** 02/19/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0014115840006 | — | PA |
| 01 | — | 0640447000 | BLUE SHIELD PROVIDER NUMB | PA |