Organization
BOSTON MEDICAL GROUP- MARYLAND, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOM L. LE M.D. (MEDICAL DIRECTOR)
(818) 808-2828
Entity
Organization
Contact information
Practice address
5500 KNOLL DRIVE, SUITE 220, COLUMBIA, MD 21045
(443) 542-9241
(443) 542-9442
Mailing address
5500 KNOLL DRIVE, SUITE 220, COLUMBIA, MD 21045
(443) 542-9241
(443) 542-9442
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
04/02/2014
Last updated
04/02/2014
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