Robert Bradley Boughan in Odenton - Pediatrics

Robert Bradley Boughan - NPI 1770608721

Robert Bradley Boughan is a Pediatrics in Odenton, Maryland. Robert Bradley Boughan practices all healthcare services and medical treatments related to Pediatrics. 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
Address 1106 Annapolis Rd, Odenton, Maryland
Phone Number 4108741400
Fax Number 4108741411
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1770608721
Provider Enumeration Date 2007-03-20
Last Updated Date 2013-04-22

Provider Mailing Address Detail

Address 1106 Annapolis Rd
City Odenton
State Maryland (MD)
Post Code 211131602
Phone Number 4108741400
Fax Number 4108741411

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No D0069537
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

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FAQs about Robert Bradley Boughan

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 Pediatrics, and the taxonomy code that classifies this field of practice is 208000000X.

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.

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