Individual
DR. BRANDON ALFREDO BOSQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
8835 GERMANTOWN AVE, PHILADELPHIA, PA 19118-2718
(215) 248-8200
Mailing address
9801 GERMANTOWN PIKE, APT# 1009, LAFAYETTE HILL, PA 19444-1102
(732) 406-6174
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC006452
PA
Other
Enumeration date
07/01/2013
Last updated
07/01/2013
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