Individual provider · Type 1 NPI

Beth A. Bosticco, PA-C

Surgical Physician Assistant · Ridgewood, NJ

NPI number 1982665667 Active

Practice location

223 N Van Dien Ave
Ridgewood, NJ 07450-2726

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X25MP00028300 (NJ)

Surgical Physician Assistant: Definition to come...

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About NPI 1982665667

Beth A. Bosticco, PA-C's National Provider Identifier is 1982665667, issued on Mar 31, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Ridgewood, NJ. The record was last updated on Jul 8, 2007.