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Organization
RICHARD BOMBACH
Active
Organization
RICHARD BOMBACH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD BOMBACH MD (MD)
(410) 683-0572
Entity
Organization
Contact information
Practice address
10 WARREN ROAD SUITE 250, COCKEYSVILLE, MD 21030-2506
(410) 683-0572
Mailing address
10 WARREN ROAD SUITE 250, COCKEYSVILLE, MD 21030-2506
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
D34300
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1628
—
MD
Enumeration date
10/21/2010
Last updated
10/21/2010
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