Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | D0039249 | MD |
NPI | 1144412412 |
---|---|
Provider Name | Dr. Sampson Boadi Sarpong |
First Address | Bowie, MD 20715-3347 |
Second Address | Beltsville, MD 20705-2513 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2007 |
Last Update Date | 22/01/2008 |