Provider Demographics
NPI:1689202350
Name:BOSSO, ALYSSA MICHELLE (MD)
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:MICHELLE
Last Name:BOSSO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7361 CALHOUN PL STE 600
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20855-2788
Mailing Address - Country:US
Mailing Address - Phone:301-942-0442
Mailing Address - Fax:
Practice Address - Street 1:161 THOMAS JOHNSON DR STE 250
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702-4958
Practice Address - Country:US
Practice Address - Phone:301-942-7600
Practice Address - Fax:301-694-0187
Is Sole Proprietor?:No
Enumeration Date:2020-03-30
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0104194207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology