NPI 1255620159

Bruce E Bosse Mdpc

Organisation Specialist Roswell, GA

Practice location

Address: 2500 Hospital Blvd Suite 440, Roswell, GA 30076-4907
Phone: (770) 663-4649
Fax: (770) 663-3930

Authorised official

Name: Bruce Eric Bosse
Title: Physician
Phone: (770) 663-4649

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 034503 (GA)

Other Specialist providers in Georgia →

Registry record

NPI: 1255620159
Entity type: Organization
NPI issued: 31 Mar 2011
Record last updated: 31 Mar 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.