Individual
DR. JOSE BOSSBALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
136 DIAMOND ST, PHILADELPHIA, PA 19122-1721
(215) 426-8100
(215) 965-2344
Mailing address
136 DIAMOND ST, PHILADELPHIA, PA 19122-1721
(215) 426-8100
(215) 965-2344
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD040261L
PA
Other
Enumeration date
08/04/2006
Last updated
11/07/2018
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