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Individual

MRS. BETH ANN BUGHMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
601 N CAROLINE ST, BALTIMORE, MD 21287-0006
(410) 955-1830
Mailing address
PO BOX 64664, BALTIMORE, MD 21264-4664

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C04176
MD
363A00000X
Physician Assistant

Other

Enumeration date
12/17/2009
Last updated
06/04/2010
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