Provider / Organization | NPI | Date Certified |
---|---|---|
ANDREW BOSTAPH | 1023190097 | 2024-11-09 |
Andrew Bostaph is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1023190097. Registration indicates Andrew Bostaph is a provider of services with a specialization in Diagnostic Radiology (Radiology) (Allopathic & Osteopathic Physicians, Radiology) (Radiology: Diagnostic Radiology, ) (Diagnostics/Imaging/Laboratory/Mammography, ) (Radiology Diagnostic Radiology, Allopathic & Osteopathic Physicians) (Radiology, ) (Allopathic & Osteopathic Physicians, Radiology) (Radiology: Vascular & Interventional Radiology, ) (Diagnostics/Imaging/Laboratory/Mammography, ) (Radiology Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians) (Radiology, ) (Allopathic & Osteopathic Physicians, Radiology) (Radiology: Vascular & Interventional Radiology, ) (Diagnostics/Imaging/Laboratory/Mammography, ) (Radiology Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians) (Radiology, )
Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
Entity Type | Individual |
Provider Name | Dr. Andrew Bostaph MD |
Practice Office Address | 3027 HAMPTON RIDGE RD FAYETTEVILLE, NC US |
Practice Office Telephone | 3039338270 |
Practice Office Fax | 9724373369 |
Mailing Address | 2817 ROCK MERRITT AVE FORT LIBERTY, NC 283100001 US |
Business Telephone | 1099078922 |
Business Fax | 1099076069 |
Code | Practice | License No State |
---|---|---|
2085R0202X PRIMARY | Diagnostic Radiology (Radiology), Allopathic & Osteopathic Physicians Radiology Radiology: Diagnostic Radiology Diagnostics/Imaging/Laboratory/Mammography Radiology Diagnostic Radiology Allopathic & Osteopathic Physicians Radiology | 2007-01814
NC |
2085R0204X | Allopathic & Osteopathic Physicians Radiology Radiology: Vascular & Interventional Radiology Diagnostics/Imaging/Laboratory/Mammography Radiology Vascular & Interventional Radiology Allopathic & Osteopathic Physicians Radiology | 01055825A
IN |
2085R0204X | Allopathic & Osteopathic Physicians Radiology Radiology: Vascular & Interventional Radiology Diagnostics/Imaging/Laboratory/Mammography Radiology Vascular & Interventional Radiology Allopathic & Osteopathic Physicians Radiology | A90220
CA |