Individual
MR. JUSTIN ELIOT VANDENBOSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
529 MAIN ST STE 216, BOSTON, MA 02129-1122
(617) 600-3195
Mailing address
PO BOX 505455, CHELSEA, MA 02150-5455
(720) 244-8528
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2278487
MA
Other
Enumeration date
03/03/2017
Last updated
06/24/2025
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