M.D. Philip J. Bosha, NPI 1710965116
Adult Reconstructive Orthopaedic Surgery Physician in State College, PA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1710965116
NPI Entity Type Individual
Provider Name M.D. Philip J. Bosha
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 1850 E Park Ave, Suite 112, State College, PA, US
Provider Mailing Address Po Box 858, Mc A410, Hershey, PA, US, 170330858
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

207XS0114X

Taxonomy Name Adult Reconstructive Orthopaedic Surgery Physician
Classification

Orthopaedic Surgery

Group

Allopathic & Osteopathic Physicians

License No. MD420020
License State PA
Description Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.

Business Address

M.D. Philip J. Bosha
1850 E Park Ave
Suite 112

State College, PA, US

Phone: 814-865-3566
Fax: 814-863-7803

Mailing Address

M.D. Philip J. Bosha
Po Box 858
Mc A410
Hershey, PA, US
ZIP 170330858
Phone: 800-243-1455

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

207QS0010X

Allopathic & Osteopathic Physicians

Family Medicine

L9632 TX No

207XX0005X

Allopathic & Osteopathic Physicians

Orthopaedic Surgery

MD420020 PA No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
1016695050001 PA MEDICAID 05
173210901 TX MEDICAID 05
103542NZ3 PA MEDICARE 01

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