Organization
BOSPHORUS PEDIATRIC, LLC
Active
Other names
Annapolis Pediatric Gastroenterology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AHMET AYBAR MD (OWNER-PROVIDER)
(443) 837-7600
Entity
Organization
Contact information
Practice address
130 LUBRANO DR STE 112, ANNAPOLIS, MD 21401-7192
(443) 837-7600
(443) 837-7688
Mailing address
130 LUBRANO DR STE 112, ANNAPOLIS, MD 21401-7192
(443) 837-7600
(443) 837-7688
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0048164
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
692310100
—
MD
Enumeration date
12/02/2014
Last updated
05/04/2018
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