Bruce E Bosse Mdpc

NPI #1255620159 in Roswell, Georgia

Provider Information

NPI Number: 1255620159
Entity Type: Organization
Organization Name: Bruce E Bosse Mdpc
Primary Specialty: Specialist
Enumeration Date: Mar 31, 2011
Last Updated: Mar 31, 2011

Practice Location

Address: 2500 HOSPITAL BLVD
Address 2: SUITE 440
City: Roswell
State: Georgia
ZIP Code: 30076-4907
Phone: (770) 663-4649

Authorized Official

Name: DR. BRUCE ERIC BOSSE, M.D.
Title: PHYSICIAN
Phone: (770) 663-4649

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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