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Individual

ALEXIS BOSCAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
22 S GREENE ST, DEPT OF RADIOLOGY, BALTIMORE, MD 21201-1544
(410) 328-3477
Mailing address
22 S GREENE ST, DEPT OF RADIOLOGY, BALTIMORE, MD 21201-1544
(410) 328-3477

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
D0069057
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010825789
DC
05
024546100
MD
Enumeration date
08/01/2006
Last updated
10/07/2024
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