Individual
DR. EDWIN BRIAN BOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 GARFIELD AVE, PARKERSBURG, WV 26101-5376
(304) 424-2590
(304) 422-3924
Mailing address
601 AVERY ST STE 501, PARKERSBURG, WV 26101-5192
(304) 422-3904
(304) 422-3924
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
15116
WV
207L00000X
Anesthesiology Physician
35070251
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0041118000
—
WV
05
—
0784183
—
OH
Enumeration date
09/27/2005
Last updated
08/29/2022
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