Individual
DR. BRUCE M BOMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4701 OGLETOWN STANTON RD STE 2200, NEWARK, DE 19713-7000
(302) 623-4500
(302) 623-4845
Mailing address
4701 OGLETOWN STANTON RD STE 2200, NEWARK, DE 19713-7000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD066107L
PA
207RX0202X
Medical Oncology Physician
C1-0008583
DE
207RX0202X
Medical Oncology Physician
MD066107L
PA
207SC0300X
Clinical Cytogenetics Physician
MD066107L
PA
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
C1-0008583
DE
207SG0201X
Clinical Genetics (M.D.) Physician
MD066107L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001715777
—
PA
05
—
7698003
—
NJ
Enumeration date
07/26/2006
Last updated
05/01/2019
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