Dillen J Bosgra, MD
Family Medicine in North Dartmouth, MA. Individual provider (NPI-1).
NPI number1669966115
StatusActive
Last updated in NPPESOct 18, 2024
Details
- NPI
- 1669966115
- Entity type
- Individual (NPI-1)
- Name
- Dillen J Bosgra
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 19, 2018
- Certification date
- Oct 18, 2024
- Last updated
- Oct 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 287147 | MA | Yes |
Practice location
500 Faunce Corner RdNorth Dartmouth, MA 02747-1278
Phone 508-973-2216 · Fax 508-973-1305
Mailing address
200 Mill RdFairhaven, MA 02719-5252
Phone 508-973-2000 · Fax 508-973-2001
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