Individual
DR. JOSE ARCADIO BIBOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5125 JONESTOWN RD STE 105, HARRISBURG, PA 17112-2987
(717) 943-1566
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 968-5700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD422152
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101731497
—
PA
01
—
102988
GEISINGER
PA
01
—
1897419
HIGHMARK BLUE SHIELD
PA
01
—
204528
JOHNS HOPKINS
PA
01
—
2764670000
AMERIHEALTH 65 PA
PA
01
—
7344537
AETNA
PA
01
—
889308
CAREFIRST MD BCBS
MD
Enumeration date
08/02/2006
Last updated
02/11/2021
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