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NPI Code Detail

MEDICARE: ABIGAIL BOSK DO

MEDICARE: ABIGAIL BOSK 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
12080P0216XPediatric Rheumatology PhysicianDO034975DC

General Provider Information

NPI Number : 1710305222
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABIGAIL BOSK DO
Provider Business Mailing Address
First Line : PO BOX 744785
Second Line :
City : ATLANTA
State : GA
Zip : 30374-4785
Country : US
Telephone Number : 202-476-5000
Fax Number :
Provider Business Practice Location Address
First Line : 111 MICHIGAN AVE NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20010-2916
Country : US
Telephone Number : 202-476-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2014
Last Update Date : 01/19/2021

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