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Bruce E Bosse Mdpc
Specialist in Roswell, Georgia
NPI 1255620159

Bruce E Bosse Mdpc is a Specialist based in Roswell, GA. Bruce E Bosse Mdpc practices in Roswell, GA. The NPI Number for Bruce E Bosse Mdpc is 1255620159 and holds a License No. 034503 (Georgia).

The current practice location address for Bruce E Bosse Mdpc is 2500 Hospital Blvd, Roswell, GA and can be reached out via phone at 770-663-4649 and via fax at 770-663-3930.

Location: 2500 Hospital Blvd, Roswell, GA, 30076-4907
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255620159
Provider Name
Bruce E Bosse Mdpc
Credential
Provider Entity Type
Organization
Address
2500 Hospital Blvd, Roswell, GA, 30076-4907
Phone Number
770-663-4649
Fax Number
770-663-3930
Provider Enumeration Date
03/31/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
13BDBWB 01 GA MEDICARE PROVIDER NUMBER
000465132B 05 GA
institution
Provider Business Practice Location Address Details
Address
2500 Hospital Blvd
City
Roswell
State
Georgia
Zip
30076-4907
Phone Number
770-663-4649
Fax Number
770-663-3930
person
Provider Business Mailing Address Details
Address
2500 Hospital Blvd
City
Roswell
State
Georgia
Zip
30076-4907
Phone Number
770-663-4649
Fax Number
770-663-3930
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
034503 (Georgia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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