# DR. JOSE ROBERTO BOSQUE JR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1699920769
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | A111402 | CA | Yes |
| 208600000X | Surgery Physician | 57-015232 | OH | — |

## Other

- **Enumeration date:** 11/17/2008
- **Last updated:** 05/25/2010