Individual
BEDFORD F BOYLSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7501 SURRATTS RD, SUITE 303, CLINTON, MD 20735-3362
(301) 868-8485
(301) 868-0638
Mailing address
7501 SURRATTS RD, SUITE 303, CLINTON, MD 20735-3362
(301) 868-8485
(301) 868-0638
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
D0059944
MD
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
D0059944
MD
Other
Enumeration date
05/25/2006
Last updated
09/30/2008
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