Individual
BRIAN BOSCOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SPEECH-LANGUAGE PATH
Contact information
Practice address
2641 RIVA RD, ANNAPOLIS, MD 21401-7374
(410) 222-5000
Mailing address
2644 RIVA RD, ANNAPOLIS, MD 21401-7427
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
04139
MD
Other
Enumeration date
11/30/2018
Last updated
11/30/2018
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