Organization
BOSLEY MEDICAL GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH J. WASHENIK M.D., PH.D. (PRESIDENT)
(310) 288-9999
Entity
Organization
Contact information
Practice address
545 BOYLSTON ST, PENTHOUSE, BOSTON, MA 02116-3606
(617) 375-9600
Mailing address
9100 WILSHIRE BLVD, EAST TOWER PENTHOUSE, BEVERLY HILLS, CA 90212-3415
(310) 288-4410
(310) 734-1517
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
05/02/2013
Last updated
05/02/2013
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