| Doctor Name: | DR. BRUNER BENEDICT BOSIO |
| NPI Number: | 1245206895 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 03499R |
| Business Practice Address: | 4507 Hospital St Pascagoula, MS - 395815336 |
| Business Phone Number: | 2287691940 |
| Business Fax Number: | 2287699231 |
| Mailing Address: | 4507 Hospital St, PASCAGOULA |
| State: | MS |
| Postal Code: | 395815336 |
| Phone Number: | 2287691940 |
| Fax Number: | 2287699231 |
| NPI Enumeration Date: | 02/24/2006 |
| NPI Last Update Date: | 06/09/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | 03499R |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | LA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |