Individual
DR. JOSE ROBERTO BOSQUE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4860 Y ST, SUITE 3800, SACRAMENTO, CA 95817-2307
(209) 815-7193
Mailing address
4860 Y ST, SUITE 3800, SACRAMENTO, CA 95817-2307
(209) 815-7193
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A111402
CA
208600000X
Surgery Physician
57-015232
OH
Other
Enumeration date
11/17/2008
Last updated
05/25/2010
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