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Individual

JAMES E BOSWORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1508 WILLOW LAWN DR, STE 117, RICHMOND, VA 23230-3421
(804) 288-8102
(804) 282-3744
Mailing address
1508 WILLOW LAWN DR, STE 117, RICHMOND, VA 23230-3421
(804) 288-8102
(804) 282-3744

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
0101029924
VA
2085N0700X
Neuroradiology Physician
0101029924
VA
2085N0904X
Nuclear Radiology Physician
0101029924
VA
2085P0229X
Pediatric Radiology Physician
0101029924
VA
2085R0202X
Diagnostic Radiology Physician
Primary
0101029924
VA
2085U0001X
Diagnostic Ultrasound Physician
0101029924
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1245219591
VA
01
224564
ANTHEM
VA
Enumeration date
01/14/2006
Last updated
08/08/2013
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