Individual
BOPHANY CHEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
87 THOMAS JOHNSON DR STE 101, FREDERICK, MD 21702-4427
(301) 694-0606
(301) 662-6928
Mailing address
87 THOMAS JOHNSON DR STE 101, FREDERICK, MD 21702-4427
(301) 694-0606
(301) 662-6928
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D72552
MD
Other
Enumeration date
06/02/2009
Last updated
12/08/2011
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