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Individual

DAVID J BOZENTKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3737 MARKET ST, 7TH FLOOR, PHILADELPHIA, PA 19104-5545
(215) 662-3340
(215) 222-8875
Mailing address
3737 MARKET ST, 7TH FLOOR, PHILADELPHIA, PA 19104-5545
(215) 662-3340
(215) 222-8875

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD047987L
PA
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
MD047987L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001448379
PA
Enumeration date
06/30/2006
Last updated
10/31/2014
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