Individual
DR. NEIL N BOSIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 EAST PUTNAM AVE, 2ND FLOOR, RIVERSIDE, CT 06878
(203) 637-0057
(203) 637-3280
Mailing address
1200 EAST PUTNAM AVE, 2ND FLOOR, RIVERSIDE, CT 06878
(203) 637-0057
(203) 637-3280
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
035452
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010035452CT01
ANTHEM BLUE CROSS
CT
01
—
035452
CONNECTICARE
—
01
—
0V9649
HEALTH NET
—
01
—
5452414
AETNA US HEALTHCARE
—
01
—
7730396002
CIGNA
—
01
—
78467
EMPIRE BLUE CROSS OF NY
—
01
—
P479423
OXFORD
—
Enumeration date
10/17/2006
Last updated
01/02/2008
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