Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jose Bossbaly, MD

Individual provider Internal Medicine Physician · NPI 1376551101

Dr. Jose Bossbaly, MD is an Internal Medicine in Philadelphia, Pennsylvania. Qualified in 1981, 45 years ago. Practices with Dr Max E. Mercado Practice, LLC, a 3-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
45
Licensed in
PA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

136 Diamond St
Philadelphia, PA 19122-1721
Phone: (215) 426-8100
Fax: (215) 965-2344
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD040261L (PA)

Record details

NPI number1376551101
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 4, 2006
Last updated in NPPESNovember 7, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1981 (45 years in practice)
Group practice Dr. Max E. Mercado Practice, Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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