Individual
DR. MUHAMMAD B BOSTAJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 HIGH PARK AVE, GOSHEN, IN 46526-4810
(574) 364-2888
(574) 364-2327
Mailing address
PO BOX 834, GOSHEN, IN 46527-0834
(574) 364-2592
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
01089891A
IN
207RP1001X
Pulmonary Disease Physician
MD12302
RI
Other
Enumeration date
07/19/2005
Last updated
08/08/2023
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