Bosenberg, Marcus

Bosenberg, Marcus is an individual health care provider with primary practice located at 111 Colchester Ave , Burlington VT 05401-1473. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatopathology, which is considered as his primary health care specialty. Bosenberg, Marcus can be contacted via phone (802) 847-9447.

Contact Information

Primary practice address
111 Colchester Ave Burlington VT 05401-1473
Fax: (802) 847-9644
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ZD0900X 042-0010348 Vermont

Profile Details

NPI number 1679595094
LBN Legal business name Bosenberg, Marcus
Credentials M.D., PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679595094 NPPES
Vermont MEDICAID 1008503

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