Individual provider · Type 1 NPI

Brandon Bossard, PA

Medical Physician Assistant · Allentown, PA

NPI number 1679680318 Active

Practice location

1200 S Cedar Crest Blvd
Allentown, PA 18103-6202

Fax (610) 402-1698

Mailing address

PO Box 783311
Philadelphia, PA 19178-3311

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XMA050763 (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1679680318

Brandon Bossard, PA's National Provider Identifier is 1679680318, issued on Aug 25, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Allentown, PA. The record was last updated on Dec 17, 2015.