Organization
PHILIP B BOVELL, MDPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP BENJAMIN BOVELL MD (OWNER)
(301) 292-0757
Entity
Organization
Contact information
Practice address
11701 LIVINGSTON RD, STE 204, FORT WASHINGTON, MD 20744-5104
(301) 292-0757
Mailing address
11701 LIVINGSTON RD, STE 204, FORT WASHINGTON, MD 20744-5104
(301) 292-0757
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
D0020121
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02663880
—
DC
Enumeration date
08/22/2005
Last updated
01/23/2008
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