# CHRIS BOSEOVSKI MD LTD

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

## Provider details

- **NPI number:** 1821785403
- **Authorized official:** CHRIS BOSEOVSKI (MD)
- **Authorized official phone:** (707) 494-2802

## Contact information

- **Practice address:** 2800 EISENHOWER AVE, ALEXANDRIA, VA 22314-5204
- **Practice address phone:** (707) 494-2802
- **Mailing address:** 5212 PIEDMONT DR, SANTA ROSA, CA 95409-2846

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/24/2023
- **Last updated:** 04/24/2023