MEDICARE: MICHAEL C BOSWORTH 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
1	207N00000X	Dermatology Physician	263766	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245657444
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL C BOSWORTH MD

Provider Business Mailing Address
First Line	:	1 WASHINGTON ST STE 401
Second Line	:
City	:	WELLESLEY HILLS
State	:	MA
Zip	:	02481-1737
Country	:	US
Telephone Number	:	781-416-3500
Fax Number	:	781-416-3505

Provider Business Practice Location Address
First Line	:	1 WASHINGTON ST STE 401
Second Line	:
City	:	WELLESLEY HILLS
State	:	MA
Zip	:	02481-1737
Country	:	US
Telephone Number	:	814-163-5007
Fax Number	:	781-416-3505

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

Provider Enumeration Date	:	03/25/2014
Last Update Date	:	04/08/2019

Similar Medicare Providers

1174054001 — REBECCA DROMS MD
Practice Location Address:

1 WASHINGTON ST STE 401
WELLESLEY HILLS, MA
02481-1737

Practice Phone: 781-416-3500
Practice Fax:

1811420532 — MARGUERITE SULLIVAN M.D.
Practice Location Address:

1 WASHINGTON ST STE 401
WELLESLEY HILLS, MA
02481-1737

Practice Phone: 781-416-3500
Practice Fax: 781-416-3505

1699795765 — DR. JAMES PAUL LANGFORD JR. D.C.
Practice Location Address:

5353 TOPANGA CANYON BLVD , SUITE 225
WOODLAND HILLS, CA
91364-1737

Practice Phone: 818-674-1200
Practice Fax: 818-337-0357

1811092596 — THOR-ALCYONE L REYES MD
Practice Location Address:

5353 TOPANGA CANYON BLVD , SUITE 100
WOODLAND HILLS, CA
91364-1737

Practice Phone: 818-704-1579
Practice Fax: 818-704-8790

1417080060 — LINDA READ SHELBY L.AC.
Practice Location Address:

5353 TOPANGA CANYON BLVD , 209
WOODLAND HILLS, CA
91364-1737

Practice Phone: 818-888-8115
Practice Fax:

1528399482 — THERAPEUTIC LIVINGS CENTERS FOR THE BLIND, INC.
Practice Location Address:

7355 SHOUP AVE
WEST HILLS, CA
91307-1737

Practice Phone: 818-708-1740
Practice Fax: 818-708-7899

Directions to “ MICHAEL C BOSWORTH MD” 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 © 2007-2026 (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.