Individual
THOMAS M BOZZUTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
300 LACKAWANNA AVE STE 150, SCRANTON, PA 18503-2001
(570) 703-7493
(570) 703-7119
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
056978
GA
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
OS004664L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000690533Y
—
GA
Enumeration date
02/07/2006
Last updated
06/17/2022
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