Bosley Medical Group, P.c.

NPI #1710322854 in Boston, Massachusetts

Provider Information

NPI Number: 1710322854
Entity Type: Organization
Organization Name: Bosley Medical Group, P.c.
Primary Specialty: Dermatology
Enumeration Date: May 2, 2013
Last Updated: May 2, 2013

Practice Location

Address: 545 BOYLSTON ST
Address 2: PENTHOUSE
City: Boston
State: Massachusetts
ZIP Code: 02116-3606
Phone: (617) 375-9600

Authorized Official

Name: DR. KENNETH J. WASHENIK, M.D., PH.D.
Title: PRESIDENT
Phone: (310) 288-9999

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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