Individual
ELISA KATE BOSILOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1200 BROOKS LN, G-10, CLAIRTON, PA 15025-3747
(412) 469-5914
Mailing address
2189 CHARDONNAY CIR, GIBSONIA, PA 15044-7469
(412) 977-7365
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA055427
PA
Other
Enumeration date
03/16/2012
Last updated
03/16/2012
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