Dr. Joseph Richard Bosarge, M.D.
Internal Medicine, Pulmonary Disease in Gulfport, MS. Individual provider (NPI-1).
NPI number1760465058
StatusActive
Last updated in NPPESSep 14, 2023
Details
- NPI
- 1760465058
- Entity type
- Individual (NPI-1)
- Name
- Dr. Joseph Richard Bosarge
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 21, 2005
- Last updated
- Sep 14, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RP1001X | Internal Medicine, Pulmonary Disease | 19863 | MS | Yes |
| 207R00000X | Internal Medicine | ME94065 | FL | |
| 207R00000X | Internal Medicine | 19863 | MS | |
| 207RC0200X | Internal Medicine, Critical Care Medicine | 19863 | MS |
Practice location
1340 Broad AveSuite 320
Gulfport, MS 39501-2404
Phone 228-575-1775
Mailing address
Po Box 1810Gulfport, MS 39502
Phone 228-575-1194 · Fax 228-575-2917
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