Individual
JESSICA BOSSIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
755 WORTHINGTON ST, SPRINGFIELD, MA 01105-1140
(413) 337-9100
(413) 747-5952
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
269316
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110117337A
—
MA
Enumeration date
04/15/2014
Last updated
02/21/2019
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