Provider Demographics
NPI:1598838211
Name:BOSI, JOHN F (DO)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:F
Last Name:BOSI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:426 W RAILROAD ST
Mailing Address - Street 2:STE 1
Mailing Address - City:NESQUEHONING
Mailing Address - State:PA
Mailing Address - Zip Code:18240-1414
Mailing Address - Country:US
Mailing Address - Phone:570-722-0637
Mailing Address - Fax:
Practice Address - Street 1:426 W RAILROAD ST
Practice Address - Street 2:STE 1
Practice Address - City:NESQUEHONING
Practice Address - State:PA
Practice Address - Zip Code:18240-1414
Practice Address - Country:US
Practice Address - Phone:570-669-9818
Practice Address - Fax:570-669-9841
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2016-06-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOS007458L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA3445325OtherAETNA
PA0014115840006Medicaid
PA736350OtherPABS
PA080113931OtherRAILROAD MEDICARE
PAPO24530OtherCHAMPUS
PA002646OtherFIRST PRIORITY
PA11731OtherGEISINGER
PA0640447000OtherAMERIHEALTH
PA50034330OtherCAPITAL BLUE CROSS
PA002646OtherFIRST HEALTH
PA0640447000OtherAMERIHEALTH
PA736350Medicare PIN
PA080113931OtherRAILROAD MEDICARE