Dr. Bruce M Boman
Internist Clinical Genetics (M.D.) Medical Oncology and 1 more
4701 Ogletown Stanton Rd Ste 2200
Newark
, Delaware 19713-7000
Dr. Bruce M Boman
Internist Clinical Genetics (M.D.) Medical Oncology and 1 more
4701 Ogletown Stanton Rd Ste 2200
Newark
, Delaware 19713-7000
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About
Features
Specialties
- Internist
- Medical Oncology
- Clinical Genetics (M.D.)
Languages spoken
- English
Location
First Address
- Dr. Bruce M Boman
- 4701 Ogletown Stanton Rd Ste 2200
- Newark, DE
- Zip : 19713-7000
- Phone :
Second Address
- Dr. Bruce M Boman
- 4701 Ogletown Stanton Rd Ste 2200
- Newark, DE
- Zip : 19713-7000
- Fax : (302) 623-4845
- Phone : (302) 623-4500
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | MD066107L | PA |
| N | 111NI0900X | Internist | MD066107L | PA |
| N | 207RX0202X | Medical Oncology | C1-0008583 | DE |
| N | 207RX0202X | Medical Oncology | MD066107L | PA |
| Y | 207SG0201X | Clinical Genetics (M.D.) | C1-0008583 | DE |
| N | 207SG0201X | Clinical Genetics (M.D.) | MD066107L | PA |
National Provider Identifier
| NPI | 1275556516 |
|---|---|
| Provider Name | Dr. Bruce M Boman |
| First Address | Newark, DE 19713-7000 |
| Second Address | Newark, DE 19713-7000 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/07/2006 |
| Last Update Date | 01/05/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 001715777 | (05) | PA |
| 7698003 | (05) | NJ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.