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NPI Code Detail

MEDICARE: DR. AUGUSTINE O BOSAH MD

MEDICARE: DR. AUGUSTINE O BOSAH MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician0101244465VA

General Provider Information

NPI Number : 1588794192
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AUGUSTINE O BOSAH MD
Provider Business Mailing Address
First Line : 549 E BRAMBLETON AVE
Second Line :
City : NORFOLK
State : VA
Zip : 23510-2905
Country : US
Telephone Number : 757-393-1136
Fax Number : 757-533-9441
Provider Business Practice Location Address
First Line : 549 E BRAMBLETON AVE
Second Line :
City : NORFOLK
State : VA
Zip : 23510-2905
Country : US
Telephone Number : 757-393-1136
Fax Number : 757-533-9441
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2007
Last Update Date : 05/23/2025

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Directions to “ DR. AUGUSTINE O BOSAH MD” Practice Location

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