Individual
JOHN VINCENT BOSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE ST, 5 RAVDIN, PHILADELPHIA, PA 19104-4238
(215) 662-2777
Mailing address
3400 SPRUCE ST, 5 RAVDIN, PHILADELPHIA, PA 19104-4238
(215) 662-2777
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MD456726
PA
Other
Enumeration date
04/27/2006
Last updated
03/07/2023
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