Individual
KENNETH W. BOSCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
508 S CHURCH ST, MT PLEASANT, PA 15666-1702
(724) 547-1405
(724) 547-1289
Mailing address
508 S CHURCH ST, MT PLEASANT, PA 15666-1702
(724) 547-1405
(724) 547-1289
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD030863E
PA
208M00000X
Hospitalist Physician
Primary
MD030863E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010065370003
—
PA
Enumeration date
07/26/2006
Last updated
10/05/2015
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