Individual
DR. JOHN A. BOSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
610 VALLEY HEALTH PLZ, PARAMUS, NJ 07652-3607
(201) 265-8200
(201) 265-0366
Mailing address
846 BERKLEY ST, APT. C, NEW MILFORD, NJ 07646-5405
(201) 576-0999
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
25MA02455300
NJ
Other
Enumeration date
05/19/2006
Last updated
02/02/2012
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