Individual
PETER BOSCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19 WOODLAND ST, SUITE 23, HARTFORD, CT 06105-2372
(860) 522-2251
Mailing address
30 JORDAN LN, WETHERSFIELD, CT 06109-1278
(860) 263-0253
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
027419
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001274191
—
CT
Enumeration date
07/19/2006
Last updated
06/24/2021
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