Robert Bradley Boughan in Odenton - Internal Medicine
Robert Bradley Boughan - NPI 1770608721
Robert Bradley Boughan is a Internal Medicine in Odenton, Maryland. Robert Bradley Boughan practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Robert Bradley Boughan is 1770608721. The last update date is 2013-04-22.
Robert Bradley Boughan's current location address is 1106 Annapolis Rd, Odenton, Maryland. You can contact this provider via phone number 4108741400 and fax number 4108741411. The mailing address for Robert Bradley Boughan is 1106 Annapolis Rd, Odenton, Maryland. To know further, please read the information below!
Provider Profile Detail
Provider Name | Robert Bradley Boughan |
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Address | 1106 Annapolis Rd, Odenton, Maryland |
Phone Number | 4108741400 |
Fax Number | 4108741411 |
Sole Proprietor | Y |
Credentials | MD |
NPI Number Detail
NPI Number | 1770608721 |
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Provider Enumeration Date | 2007-03-20 |
Last Updated Date | 2013-04-22 |
Provider Mailing Address Detail
Address | 1106 Annapolis Rd |
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City | Odenton |
State | Maryland (MD) |
Post Code | 211131602 |
Phone Number | 4108741400 |
Fax Number | 4108741411 |
Provider's Primary Taxonomy Detail
Speciality | Internal Medicine |
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Taxonomy | 207R00000X |
Licence No | D0069537 |
Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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What is the unique 10-digit identification code assigned to Robert Bradley Boughan by the Centers for Medicare & Medicaid Services?
The Robert Bradley Boughan has been issued the NPI (National Provider Identifier) 1770608721, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Robert Bradley Boughan's facilities are situated?
The facilities of Robert Bradley Boughan are physically located at the following address: 1106 Annapolis Rd, Odenton, MD, 211131602.
What is Robert Bradley Boughan's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Robert Bradley Boughan is Internal Medicine, and the taxonomy code that classifies this field of practice is 207R00000X.
When did the Robert Bradley Boughan receive its 1770608721?
The Robert Bradley Boughan was issued its 1770608721 on 2007-03-20, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Robert Bradley Boughan most recently updated or revised?
The details related to Robert Bradley Boughan, including its address, specialty, and other relevant information, were last updated or revised on 2013-04-22.