Dr. John A. Bostrom
Sports Medicine Doctor
610 Valley Health Plz
Paramus
, New Jersey 07652-3607
Dr. John A. Bostrom
Sports Medicine Doctor
610 Valley Health Plz
Paramus
, New Jersey 07652-3607
(201) 576-0999
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About
Features
Specialties
- Sports Medicine Doctor
Languages spoken
- English
Location
First Address
- Dr. John A. Bostrom
- 846 Berkley St Apt. C
- New Milford, NJ
- Zip : 07646-5405
- Phone : (201) 576-0999
Second Address
- Dr. John A. Bostrom
- 610 Valley Health Plz
- Paramus, NJ
- Zip : 07652-3607
- Fax : (201) 265-0366
- Phone : (201) 265-8200
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204C00000X | Sports Medicine Doctor | 25MA02455300 | NJ |
National Provider Identifier
| NPI | 1497708242 |
|---|---|
| Provider Name | Dr. John A. Bostrom |
| First Address | New Milford, NJ 07646-5405 |
| Second Address | Paramus, NJ 07652-3607 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/05/2006 |
| Last Update Date | 02/02/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| C58485 | (02) | NJ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.