DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: CYNTHIA L. VANDERBOSCH M.D.

MEDICARE: CYNTHIA L. VANDERBOSCH M.D.
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
1207Q00000XFamily Medicine Physician01037767AIN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1080122015OTHERINRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3000000091894OTHERBLUE CROSS BLUE SHIELD
4000000000312OTHERMPLAN
51975OTHERPHYSICIANS HEALTH PLAN

General Provider Information

NPI Number : 1235120544
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA L. VANDERBOSCH M.D.
Provider Business Mailing Address
First Line : 3534 BROOKLYN AVE
Second Line :
City : FORT WAYNE
State : IN
Zip : 46809-1361
Country : US
Telephone Number : 260-747-6171
Fax Number : 260-478-5125
Provider Business Practice Location Address
First Line : 2516 E DUPONT RD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46825-1608
Country : US
Telephone Number : 260-471-7622
Fax Number : 260-489-5469
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2005
Last Update Date : 03/04/2013

Similar Medicare Providers

1538150404 — ALLIED PHYSICIANS INC., D/B/A TRI-STATE PHYSICAL MEDICINE
Practice Location Address:
2516 E DUPONT RD
FORT WAYNE, IN
46825-1608
Practice Phone: 260-436-2416
Practice Fax:
1083605364 — MANOLO M. MANALO MD
Practice Location Address:
2516 E DUPONT RD
FORT WAYNE, IN
46825-1608
Practice Phone: 260-471-7197
Practice Fax: 260-471-7408
1497738231 — ALLIED PHYSICIANS INC., D/B/A EAR, NOSE & THROAT SPECIALISTS
Practice Location Address:
2516 E DUPONT RD
FORT WAYNE, IN
46825-1608
Practice Phone: 260-490-8422
Practice Fax: 260-490-5891
1265410120 — EDNA M MANALO PA
Practice Location Address:
2516 E DUPONT RD
FORT WAYNE, IN
46825-1608
Practice Phone: 260-471-7197
Practice Fax: 260-471-7408
1588611537 — GIFFIN ENT LLC
Practice Location Address:
2516 E DUPONT RD
FORT WAYNE, IN
46825-1608
Practice Phone: 260-625-5071
Practice Fax: 260-625-5072
1548209877 — BROOKLYN MEDICAL ASSOCIATES LLC
Practice Location Address:
2516 E DUPONT RD
FORT WAYNE, IN
46825-1608
Practice Phone: 260-747-6171
Practice Fax: 260-478-5125

Directions to “ CYNTHIA L. VANDERBOSCH M.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.