Individual
BARRY BOSTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
386 STANLEY ST, FALL RIVER, MA 02720-6009
(508) 679-5222
(508) 676-5671
Mailing address
386 STANLEY ST, FALL RIVER, MA 02720-6009
(508) 679-5222
(508) 676-5671
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1473
CAC
MA
Enumeration date
01/30/2015
Last updated
01/30/2015
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