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1093776817
JOSE S BOSTON
BALTIMORE, MD
NPI
1093776817
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MD D28462)
Enumeration Date
2006-03-31
Last Update Date
2010-03-08
Business Address
Dr. JOSE S BOSTON M.D.,CMD
3704 EGERTON RD
BALTIMORE, MD 21215-7115
Phone number: 410-367-5880
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Mailing Address
Dr. JOSE S BOSTON M.D.,CMD
5401 OLD COURT RD ATTN: CREDENTIALING
RANDALLSTOWN, MD 21133-5103
Phone number: 410-601-5524
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