Individual
DR. PATRICK BOU-SAMRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 ORLEANS ST # TOWER110, BALTIMORE, MD 21287-0010
(410) 955-2050
Mailing address
225 N CALVERT ST, BALTIMORE, MD 21202-4937
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0213
MD
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/19/2019
Last updated
07/10/2019
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