Individual
DR. MICHAEL JAMES BOQUARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 HAWKINS POINT RD, MAILSTOP 28B, BALTIMORE, MD 21226-1797
(410) 636-7506
(410) 636-7868
Mailing address
1118 S HIGHLAND AVE, BALTIMORE, MD 21224-5109
(443) 474-1517
(410) 636-7868
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
157258
NY
Other
Enumeration date
01/05/2006
Last updated
10/25/2012
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