Individual
MICHAEL C BOSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 WASHINGTON ST STE 401, WELLESLEY HILLS, MA 02481-1737
(814) 163-5007
(781) 416-3505
Mailing address
1 WASHINGTON ST STE 401, WELLESLEY HILLS, MA 02481-1737
(781) 416-3500
(781) 416-3505
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
263766
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110106301A
—
MA
Enumeration date
03/25/2014
Last updated
04/08/2019
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