Individual
ERIC MICHAEL BOSTWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AUD
Contact information
Practice address
3509 N BROAD ST, PHILADELPHIA, PA 19140-4105
(215) 707-3663
(215) 707-6417
Mailing address
2450W HUNTING PARK AVE, PHILADELPHIA, PA 19129-4105
(215) 707-3663
(215) 707-6417
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AT006522
PA
231H00000X
Audiologist
—
—
Other
Enumeration date
06/30/2017
Last updated
08/09/2017
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