Individual
ANTONIO BOSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
750 UNIVERSITY ROW, MADISON, WI 53705-1311
(608) 890-5000
(608) 890-5250
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
32665
KY
207RG0100X
Gastroenterology Physician
32665
KY
207RG0100X
Gastroenterology Physician
Primary
35541-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64012974
—
KY
Enumeration date
08/03/2006
Last updated
01/28/2021
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