Jolly Bose M.D.

NPI 1619116548 - Preventive Medicine - 2083P0901X

NPI Details
NPI 1619116548
Gender Female
Enumeration Date 02/17/2009
Last Updated 03/29/2013
Entity Type Individual
Active Over 7 years ago
Practice Location
400 N STATE ROAD 19
SUITE 48
PALATKA FL, 32177-2482, US
Phone (386) 329-8800
Fax
Business Location
400 N STATE ROAD 19
SUIT 48 NF/SG VAHS PALATKA CBOC
PALATKA FL, 32177-2482, US
Phone (386) 329-8800
Fax
Toxanomy
Taxonomy Code 2083P0901X
License State Florida
License Number ME105828
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According to our database, Dr. Jolly Bose M.D. NPI is 1619116548, taxonomy code is 2083P0901X and license number is ME105828, license state is located at Florida. Jolly Bose M.D. physically located at 400 N State Road 19, Palatka FL, 32177-2482. NPI Number Jolly Bose M.D. has the Individual type.

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1619116548 NPI number is provided on an as is basis without warranty of any kind. 1619116548 is maintained by the National Plan & Provider Enumeration System. The contents of Jolly Bose M.D. are for informational purposes only.