Individual provider · Type 1 NPI
Brandon Alfredo Bosque, D.P.M.
Foot & Ankle Surgery Podiatrist · Philadelphia, PA
NPI number
1679913040
Active
Practice location
8835 Germantown Ave
Philadelphia, PA 19118-2718
Mailing address
9801 Germantown Pike, APT# 1009
Lafayette Hill, PA 19444-1102
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | SC006452 (PA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1679913040
Brandon Alfredo Bosque, D.P.M.'s National Provider Identifier is 1679913040, issued on Jul 1, 2013. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 1, 2013.