Boman, Bruce M

Boman, Bruce M is an individual health care provider with primary practice located at 4701 Ogletown Stanton Rd Ste 2200 , Newark DE 19713-7000. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Clinical Cytogenetic, Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.). Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) is his primary health care specialty. Boman, Bruce M can be contacted via phone (302) 623-4500.

Contact Information

Primary practice address
4701 Ogletown Stanton Rd Ste 2200 Newark DE 19713-7000
Fax: (302) 623-4845
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD066107L Pennsylvania
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X C1-0008583 Delaware
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X MD066107L Pennsylvania
Allopathic & Osteopathic Physicians / Clinical Cytogenetic 207SC0300X MD066107L Pennsylvania
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X MD066107L Pennsylvania
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X C1-0008583 Delaware

Profile Details

NPI number 1275556516
LBN Legal business name Boman, Bruce M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated May 1st, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275556516 NPPES
New Jersey MEDICAID 7698003
New Jersey MEDICAID 001715777

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