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Kristopher Bosque

NPI 1093257768 · on the registry since 2016

Practice

Address
11341 Sunset Hills Rd
Reston, VA 20190
Phone
(703) 471-0919
Clinicians at this address
6

Registry record

Primary taxonomy
367500000X
367500000X
Also registered as
163W00000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-03-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia