| Doctor Name: | STEPHANIE ANN BOSSI |
| NPI Number: | 1235254368 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | MA052352 |
| Business Practice Address: | 790 Northern Blvd Suite K South Abington Township, PA - 184118799 |
| Business Phone Number: | 5705864141 |
| Business Fax Number: | 5705866722 |
| Mailing Address: | 790 Northern Blvd, Suite K SOUTH ABINGTON TOWNSHIP |
| State: | PA |
| Postal Code: | 184118799 |
| Phone Number: | 5705864141 |
| Fax Number: | 5705866722 |
| NPI Enumeration Date: | 03/20/2007 |
| NPI Last Update Date: | 09/23/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | MA052352 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |