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Contact Information

JOSEPH R BOSARGE, MD
1340 BROAD AVE
SUITE 320
GULFPORT, MS39501-2404
 Phone: 228-575-1775
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JOSEPH R BOSARGE · (Male)

NPI Number 1760465058
Status Active
Credentials MD
Entity Individual
Enumeration date 11/21/2005
Last updated 09/14/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME94065
  • MS License # 19863
Hospital affiliation(s)
  • MEMORIAL HOSPITAL AT GULFPORT - (Acute Care)
    4500 13TH ST-P O BOX 1810
    GULFPORT, MS 39502
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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