Individual
DR. BRYAN JOHN BOOSZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2 MUNGER RD, NEWTOWN SQUARE, PA 19073-2314
(610) 356-1776
Mailing address
2 MUNGER RD, NEWTOWN SQUARE, PA 19073-2314
(610) 356-1776
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS024037L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
174080
UNITED CONCORDIA
PA
Enumeration date
06/28/2006
Last updated
07/08/2007
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