Individual
BOSCO EDRIC NORONHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1265 WAYNE AVENUE, SUITE 100, INDIANA, PA 15701-3578
(724) 349-5440
(724) 349-7445
Mailing address
1265 WAYNE AVE, SUITE 100, INDIANA, PA 15701-3578
(724) 349-5440
(724) 349-7445
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD072191L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001836979
—
PA
Enumeration date
06/02/2006
Last updated
05/29/2020
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