Individual
SAMUEL F BOSCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
315 S MANNING BLVD, @ ST. PETERS HOSPITAL ER DEPT., ALBANY, NY 12208-1707
(518) 525-1324
(518) 383-4223
Mailing address
PO BOX 809, LIVINGSTON, NJ 07039-0809
(800) 345-0064
(973) 251-1109
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
170462-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01831121
—
NY
Enumeration date
06/26/2006
Last updated
12/16/2008
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