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Individual

MICHAEL V. BOSCO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1500 PLEASANT VALLEY WAY, WEST ORANGE, NJ 07052-2956
(973) 669-5600
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00632600
NJ
363A00000X
Physician Assistant
363AS0400X
Surgical Physician Assistant
25MP00632600
NJ

Other

Enumeration date
05/24/2021
Last updated
04/15/2026
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