Andrew Bostom in Providence - Internal Medicine

Andrew Bostom - NPI 1902850274

Andrew Bostom is a Internal Medicine in Providence, Rhode Island. Andrew Bostom practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Andrew Bostom is 1902850274. The last update date is 2008-08-05.

Andrew Bostom's current location address is 593 Eddy St, Providence, Rhode Island. You can contact this provider via phone number 4014446460 and fax number 4014442217. The mailing address for Andrew Bostom is 593 Eddy St, Providence, Rhode Island. To know further, please read the information below!

Provider Profile Detail

Provider Name Andrew Bostom
Address 593 Eddy St, Providence, Rhode Island
Phone Number 4014446460
Fax Number 4014442217
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1902850274
Provider Enumeration Date 2006-05-20
Last Updated Date 2008-08-05

Provider Mailing Address Detail

Address 593 Eddy St
City Providence
State Rhode Island (RI)
Post Code 29034923
Phone Number 4014446460
Fax Number 4014442217

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No MD09437
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2100339 MA --
9025311 RI --
P00024512 RI RAILROAD MEDICARE

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FAQs about Andrew Bostom

What is the unique identifier code issued to Andrew Bostom by the Centers for Medicare & Medicaid Services?

The Andrew Bostom has been assigned the NPI (National Provider Identifier) 1902850274. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Andrew Bostom is geographically located?

The Andrew Bostom is physically situated at the following location: 593 Eddy St, Providence, RI, 29034923.

What is Andrew Bostom's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Andrew Bostom's specialized field of practice is Internal Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207R00000X.

On what date did the Andrew Bostom receive the assignment of its 1902850274 from the Centers for Medicare & Medicaid Services?

The Andrew Bostom was issued its 1902850274 by the Centers for Medicare & Medicaid Services on 2006-05-20.

As of what date was the information pertaining to Andrew Bostom, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Andrew Bostom, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-08-05.

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