Michael V. Bosco
Physician Assistant in West Orange, NJ. Individual provider (NPI-1).
NPI number1285209015
StatusActive
Last updated in NPPESApr 15, 2026
Details
- NPI
- 1285209015
- Entity type
- Individual (NPI-1)
- Name
- Michael V. Bosco
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 24, 2021
- Certification date
- Apr 15, 2026
- Last updated
- Apr 15, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 25MP00632600 | NJ | Yes |
| 363A00000X | Physician Assistant | – | – | |
| 363AS0400X | Physician Assistant, Surgical | 25MP00632600 | NJ |
Practice location
1500 Pleasant Valley WayWest Orange, NJ 07052-2956
Phone 973-669-5600
Mailing address
1 Diamond Hill RdBerkeley Heights, NJ 07922-2104
Phone 908-273-4300
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All 29 Physician Assistant providers in West Orange · All 2,010 providers in West Orange
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