Provider Demographics
NPI:1881004414
Name:BOSCOE, HILARY ANNE
Entity Type:Individual
Prefix:MRS
First Name:HILARY
Middle Name:ANNE
Last Name:BOSCOE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:HILARY
Other - Middle Name:ANNE
Other - Last Name:PECK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RDH
Mailing Address - Street 1:11 ROBINSON STREET
Mailing Address - Street 2:SUITE 100
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19464-9997
Mailing Address - Country:US
Mailing Address - Phone:610-326-7405
Mailing Address - Fax:610-326-7407
Practice Address - Street 1:11 ROBINSON STREET
Practice Address - Street 2:SUITE 100
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19464-9997
Practice Address - Country:US
Practice Address - Phone:610-326-7405
Practice Address - Fax:610-326-7407
Is Sole Proprietor?:No
Enumeration Date:2014-05-05
Last Update Date:2014-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPHDH000632124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist