Individual
DR. OLIVERA B BOSKOVSKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
110 LIBERTY STREET, BROCKTON, MA 02301
(508) 894-0400
(508) 894-0412
Mailing address
110 LIBERTY ST, BROCKTON, MA 02301-5674
(508) 894-0400
(508) 894-0412
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2005001986
MO
207Q00000X
Family Medicine Physician
Primary
252624
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209007210
—
MO
05
—
2099007202
—
MO
Enumeration date
08/24/2005
Last updated
01/12/2024
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