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Contact Information

PHILIP J BOSHA, MD
143 HOSPITAL DR STE 112
STATE COLLEGE, PA16803-5500
 Phone: 814-865-3566
 Fax: 814-863-7803
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Reconstructive Orthopaedic Surgery

207XS0114X 02 Physician/General Surgery
 

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
 

Sports Medicine

207XX0005X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for PHILIP J BOSHA · (Male)

NPI Number 1710965116
Status Active
Credentials MD
Entity Individual
Enumeration date 01/05/2006
Last updated 08/15/2025 - About 10 months ago
Sole proprietor 1 No
Identifiers
  • PA License # MD420020
  • TX License # L9632
  • PA Medicaid 1016695050001
  • TX Medicaid 173210901
  • PA Other 103542NZ3 MEDICARE
Hospital affiliation(s)
  • MOUNT NITTANY MEDICAL CENTER - (Acute Care)
    1800 EAST PARK AVE
    STATE COLLEGE, PA 16803
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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