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Individual

DR. DEBASHISH BOSE

Active
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Individual

DR. DEBASHISH BOSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
DBOSE1
MD
2086X0206X
Surgical Oncology Physician
Primary
ME107615
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002311800
FL
01
ME107615
MEDICAL LICENSE
FL
Enumeration date
01/23/2007
Last updated
11/09/2016
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