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Organization

JOHN BOSI DO,PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN F BOSI D.O. (OWNER-PHYSICIAN)
(570) 669-9818
Entity
Organization

Contact information

Practice address
50 E LOCUST ST, SUITE 1, NESQUEHONING, PA 18240-1310
(570) 669-9818
(570) 669-9841
Mailing address
50 E LOCUST ST, SUITE 1, NESQUEHONING, PA 18240-1310
(570) 669-9818
(570) 669-9841

Taxonomy

Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
Primary
OS007458L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0014115840006
PA
01
0640447000
BLUE SHIELD PROVIDER NUMB
PA
Enumeration date
06/14/2007
Last updated
02/19/2008
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