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Organization
DAVID P. BOERSMA, M.D., L.L.C.
Active
Organization
DAVID P. BOERSMA, M.D., L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID P BOERSMA M.D. (PCP/OWNER)
(410) 823-5532
Entity
Organization
Contact information
Practice address
7505 OSLER DR STE 510, TOWSON, MD 21204-7740
(410) 823-5532
(410) 823-5703
Mailing address
7505 OSLER DR STE 510, TOWSON, MD 21204-7740
(410) 823-5532
(410) 823-5703
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
D0040048
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
372R
MEDICARE NUMBER
MD
Enumeration date
08/15/2007
Last updated
08/15/2007
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