Individual
STANLEY D BOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
495 WATERFRONT DR E, SUITE 230, HOMESTEAD, PA 15120-1140
(412) 325-0397
(412) 461-5490
Mailing address
495 WATERFRONT DR E, SUITE 230, HOMESTEAD, PA 15120-1140
(412) 325-0397
(412) 461-5490
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC001840L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004303232
AETNA PIN
PA
05
—
0005069140004
—
PA
01
—
1015184
GATEWAY HMO PROV NUMBER
PA
01
—
1156610001
DMERC PROVIDER NUMBER
PA
01
—
1205011277
DMERC NPI
PA
01
—
1382437
HIGHMARK GROUP NUMBER
PA
01
—
1710912845
GROUP NPI
PA
01
—
63793
HIGHMARK INDIVIDUAL PROV#
PA
Enumeration date
02/03/2006
Last updated
01/15/2014
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