Individual
AMY NICHOLS BOSSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
909 HYDE ST, 317, SAN FRANCISCO, CA 94109-4822
(415) 885-5888
(415) 885-5886
Mailing address
909 HYDE ST, 317, SAN FRANCISCO, CA 94109-4822
(415) 885-5888
(415) 885-5886
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G54885
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00BY957A00
—
CA
Enumeration date
08/08/2006
Last updated
05/27/2015
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