Gail P Bosco in Green Bay - Medical

Gail P Bosco - NPI 1538205380

Gail P Bosco is a Medical in Green Bay, Wisconsin. Gail P Bosco practices all healthcare services and medical treatments related to Medical. The NPI Number for Gail P Bosco is 1538205380. The last update date is 2014-04-09.

Gail P Bosco's current location address is 2430 E Mason St, Green Bay, Wisconsin. You can contact this provider via phone number 9204069863. The mailing address for Gail P Bosco is 2430 E Mason St, Green Bay, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Gail P Bosco
Address 2430 E Mason St, Green Bay, Wisconsin
Phone Number 9204069863
Fax Number
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1538205380
Provider Enumeration Date 2007-01-29
Last Updated Date 2014-04-09

Provider Mailing Address Detail

Address 2430 E Mason St
City Green Bay
State Wisconsin (WI)
Post Code 543023759
Phone Number 9204069863
Fax Number

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No 2092
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
41935400 WI --
2092 WI LICENSE

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FAQs about Gail P Bosco

What is the unique 10-digit identifier code issued to Gail P Bosco by the Centers for Medicare & Medicaid Services?

The Gail P Bosco has been assigned the NPI (National Provider Identifier) 1538205380 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Gail P Bosco?

The Gail P Bosco is physically situated at 2430 E Mason St, in the city of Green Bay, state of WI, with the postal code 543023759.

What is Gail P Bosco's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Gail P Bosco is Medical, and the taxonomy classification code that categorizes this area of expertise is 363Am0700X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1538205380 to Gail P Bosco?

The Centers for Medicare & Medicaid Services originally issued the 1538205380 to Gail P Bosco on 2007-01-29.

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

The information related to Gail P Bosco, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-04-09.

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