Individual
SAMUEL JOHN BOSCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
32 STRAWBERRY HILL CT STE 4, STAMFORD, CT 06902-2594
(203) 353-0000
Mailing address
32 STRAWBERRY HILL CT STE 4, STAMFORD, CT 06902-2594
(203) 353-0000
(203) 357-8109
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
080698-DO
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2020
Last updated
06/05/2025
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