Boswell, Robert Joseph

Boswell, Robert Joseph is an individual health care provider with primary practice located at 2233 Nesconset Hwy Ste 202, Lake Grove NY 11755-1000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Boswell, Robert Joseph can be contacted via phone (631) 585-5055.

Contact Information

Primary practice address
2233 Nesconset Hwy Ste 202 Lake Grove NY 11755-1000
Phone: (631) 585-5055
Fax: (631) 585-4967
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 086244 New York

Profile Details

NPI number 1700869252
LBN Legal business name Boswell, Robert Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2005
Last updated Mar 16th, 2010 - about 14 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 1700869252 NPPES
New York MEDICAID 00669172

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