Philip J. Bosha in State College - Sports Medicine
Philip J. Bosha - NPI 1710965116
Philip J. Bosha is a Sports Medicine in State College, Pennsylvania. Philip J. Bosha practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Philip J. Bosha is 1710965116. The last update date is 2019-03-04.
Philip J. Bosha's current location address is 1850 E Park Ave, State College, Pennsylvania. You can contact this provider via phone number 8148653566 and fax number 8148637803. The mailing address for Philip J. Bosha is 1850 E Park Ave, State College, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
Provider Name | Philip J. Bosha |
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Address | 1850 E Park Ave, State College, Pennsylvania |
Phone Number | 8148653566 |
Fax Number | 8148637803 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1710965116 |
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Provider Enumeration Date | 2006-01-05 |
Last Updated Date | 2019-03-04 |
Provider Mailing Address Detail
Address | 1850 E Park Ave |
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City | State College |
State | Pennsylvania (PA) |
Post Code | 168036706 |
Phone Number | 8148653566 |
Fax Number | 8148637803 |
Provider's Primary Taxonomy Detail
Speciality | Sports Medicine |
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Taxonomy | 207Qs0010X |
Licence No | L9632 |
Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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1016695050001 | PA | -- | |
173210901 | TX | -- | |
103542NZ3 | PA | MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Philip J. Bosha by the Centers for Medicare & Medicaid Services?
The Philip J. Bosha has been assigned the NPI (National Provider Identifier) 1710965116 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Philip J. Bosha's facilities are situated?
The facilities of Philip J. Bosha are physically located at the following address: 1850 E Park Ave, State College, PA, 168036706.
On what date was the 1710965116 assigned to Philip J. Bosha?
The Philip J. Bosha was issued its 1710965116 on 2006-01-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
On what date did the Philip J. Bosha receive the assignment of its 1710965116 from the Centers for Medicare & Medicaid Services?
The Philip J. Bosha was issued its 1710965116 by the Centers for Medicare & Medicaid Services on 2006-01-05.
When was the information regarding Philip J. Bosha most recently updated?
The details pertaining to the Philip J. Bosha, including its address, specialty, and other relevant information, were last refreshed on 2019-03-04.
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