Active NPIIndividual provider

Dr. Marcus Bosenberg, MD, PHD

Pathology, Dermatopathology in Burlington, Vermont

NPI Number1679595094
Practice location
111 Colchester Ave, Burlington, VT 05401-1473
Fax
802-847-9644
Last updated
July 8, 2007

Marcus Bosenberg is a Pathology, Dermatopathology based in Burlington, VT. Marcus Bosenberg practices in Burlington, VT and has the professional credentials of MD, PHD. The NPI Number for Marcus Bosenberg is 1679595094 and holds a License No. 042-0010348 (VT). The current practice location address for Marcus Bosenberg is 111 Colchester Ave, Burlington, VT 05401-1473 and can be reached out via phone at 802-847-9447 and via fax at 802-847-9644.

Provider Profile Details

NPI Number
1679595094
Provider Name
Marcus Bosenberg
Credential
MD, PHD
Provider Entity Type
Individual
Gender
Male
Address
111 Colchester Ave, Burlington, VT 05401-1473
Phone Number
802-847-9447
Fax Number
802-847-9644
Primary Taxonomy
Pathology, Dermatopathology · 207ZD0900X
Sole Proprietor
No
Provider Enumeration Date
July 24, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
111 Colchester Ave
Burlington, VT 05401-1473
State
Vermont
Zip
05401-1473
Phone Number
802-847-9447
Fax Number
802-847-9644
Burlington, VT 05401Get directions →

Provider Business Mailing Address Details

Address
460 Martel Ln
St George, VT 05495-7087
City
St George
State
VT
Zip
05495-7087
Phone Number
802-878-0917

License Information

License Number
042-0010348
License State
VT
Taxonomy
Pathology, Dermatopathology · 207ZD0900X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Marcus Bosenberg, MD, PHD?

The NPI number of Dr. Marcus Bosenberg, MD, PHD is 1679595094. It was assigned on July 24, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Marcus Bosenberg, MD, PHD?

Dr. Marcus Bosenberg, MD, PHD is registered under the primary taxonomy Pathology, Dermatopathology (code 207ZD0900X), licensed in VT under license number 042-0010348.

Where does Dr. Marcus Bosenberg, MD, PHD practice?

The practice location is 111 Colchester Ave, Burlington, VT 05401-1473. The office can be reached at 802-847-9447 (phone) or 802-847-9644 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1679595094 directly on the NPPES registry website.

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