Individual
MAGGIE LYNN BOSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
45 READE PL, POUGHKEEPSIE, NY 12601
(845) 454-8500
Mailing address
3 WOODSIDE TER, POUGHKEEPSIE, NY 12603-5688
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
020938
NY
Other
Enumeration date
06/24/2017
Last updated
08/27/2021
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