Bozzuto, Thomas M

Bozzuto, Thomas M is an individual health care provider with primary practice located at 300 Lackawanna Ave Ste 150 , Scranton PA 18503-2001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, which is considered as his primary health care specialty. Bozzuto, Thomas M can be contacted via phone (570) 703-7493.

Contact Information

Primary practice address
300 Lackawanna Ave Ste 150 Scranton PA 18503-2001
Phone: (570) 703-7493
Fax: (570) 703-7119
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 207PE0005X 056978 Georgia
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 207PE0005X OS004664L Pennsylvania

Profile Details

NPI number 1164494720
LBN Legal business name Bozzuto, Thomas M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Jun 17th, 2022 - about 3 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 1164494720 NPPES
Georgia MEDICAID 000690533Y

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