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Individual

DONALD W. BOSKEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
903 RANDOLPH ST, DBA CHAIR CITY FAMILY PRACTICE/MEDZONE, THOMASVILLE, NC 27360-5898
(336) 475-7163
(336) 475-1199
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 475-7163
(336) 475-1199

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21538
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8916996
NC
01
P00247946
RAILROAD MEDICARE
NC
Enumeration date
01/09/2006
Last updated
02/19/2013
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