Individual
DR. MICHAEL J. VON BOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, FACEP
Contact information
Practice address
4108 AVENUE U, BROOKLYN, NY 11234-5120
(718) 252-2582
(718) 252-0598
Mailing address
939 1/2 GREENE AVE, BROOKLYN, NY 11221-2901
(917) 375-7417
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
257611
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0934607
—
NJ
Enumeration date
05/19/2009
Last updated
06/18/2024
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