Individual
MR. MARTIN LEWIS BOESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
8901 ROCKVILLE PIKE, BETHESDA, MD 20889-0001
(301) 295-4455
Mailing address
814 DEWEY AVE, HAGERSTOWN, MD 21742-3939
(301) 745-3215
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
572524-1
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
R190088
MD
Other
Enumeration date
01/04/2013
Last updated
11/15/2018
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