Boughan, Robert Bradley

Boughan, Robert Bradley is an sole proprietor health care provider with primary practice located at 1106 Annapolis Rd Suite 310, Odenton MD 21113-1602. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Boughan, Robert Bradley can be contacted via phone (410) 874-1400.

Contact Information

Primary practice address
1106 Annapolis Rd Suite 310 Odenton MD 21113-1602
Phone: (410) 874-1400
Fax: (410) 874-1411
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X D0069537 Maryland
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D0069537 Maryland

Profile Details

NPI number 1770608721
LBN Legal business name Boughan, Robert Bradley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 20th, 2007
Last updated Apr 22nd, 2013 - about 11 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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