Individual
MR. ADAM JOSEPH BOSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4940 EASTERN AVE, BALTIMORE, MD 21224
(410) 550-0100
Mailing address
4940 EASTERN AVE, BALTIMORE, MD 21224-2735
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C06615
MD
363AS0400X
Surgical Physician Assistant
C06615
MD
Other
Enumeration date
07/19/2017
Last updated
12/04/2019
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