Individual
DR. BARRY PAUL BODEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14995 SHADY GROVE RD STE 350, ROCKVILLE, MD 20850-8726
(301) 251-1433
(301) 424-5266
Mailing address
PO BOX 79831, BALTIMORE, MD 21279-0831
(301) 251-1433
(301) 424-5266
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
D0050899
MD
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
D0050899
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
093557
ANTHEM
—
01
—
217566133
TRICARE
—
01
—
347535
MDIPA/OPCHOICE
—
01
—
37520008
BLUE CROSS OF NATL CAP AR
—
01
—
5405091004
CIGNA
—
01
—
54223602
CAREFIRST BLUE CROSS
—
Enumeration date
10/12/2006
Last updated
02/19/2024
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