Individual
DR. MICHAEL DENNIS BOSAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2808 OLD POST ROAD, HARRISBURG, PA 17110-3685
(717) 920-4400
(717) 920-4553
Mailing address
2808 OLD POST RD, HARRISBURG, PA 17110-3685
(717) 920-4400
(717) 920-4401
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD055541L
PA
207RI0011X
Interventional Cardiology Physician
Primary
MD055541L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001768690
—
PA
Enumeration date
05/23/2005
Last updated
01/19/2022
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