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
Phone: (302) 623-4500
Fax: (302) 623-4845
Website:
Health care specialties
| Specialty | Code | License # | 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 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275556516 | NPPES |
| New Jersey | MEDICAID | 7698003 | |
| New Jersey | MEDICAID | 001715777 |
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