MEDICARE: MICHAEL BOVA DO

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
1	207Q00000X	Family Medicine Physician	OS021314	PA

General Provider Information

NPI Number	:	1649836966
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL BOVA DO

Provider Business Mailing Address
First Line	:	620 N PINE ST
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17603-2824
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2221 NOLL DR STE 2000
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17603-7614
Country	:	US
Telephone Number	:	717-327-4694
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/13/2019
Last Update Date	:	05/22/2026

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Directions to “ MICHAEL BOVA DO” Practice Location

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