Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | G55191 | CA |
NPI | 1043305386 |
---|---|
Provider Name | Dr. Peter Foster Bross |
First Address | Gaithersburg, MD 20878-5231 |
Second Address | Rockville, MD 20852-1428 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 08/07/2007 |