Individual
SUBHASISH BOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2091 LANGHORNE RD, LYNCHBURG, VA 24501-1428
(434) 947-3954
(877) 583-4046
Mailing address
2450 W HUNTING PARK AVE, 3RD FLOOR, PHILADELPHIA, PA 19129-1302
(215) 707-2433
(215) 707-3677
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD448349
PA
207RN0300X
Nephrology Physician
Primary
0101253245
VA
Other
Enumeration date
09/17/2009
Last updated
09/20/2024
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