Individual
AMY B BOSINSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
81 MEDICAL CENTER DRIVE, SUITE 2350, BRUNSWICK, ME 04011
(207) 373-6690
(207) 373-6695
Mailing address
81 MEDICAL CENTER DR, SUITE 2350, BRUNSWICK, ME 04011-2764
(207) 373-6690
(207) 373-6695
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA745
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010424957
TRICARE
—
01
—
250012128
MEDICARE RAILROAD GROUP
—
01
—
P0061
BCBS GROUP
—
01
—
P88047
BCBS
—
Enumeration date
03/01/2006
Last updated
04/13/2015
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