Individual
EMMANUEL OSEI-BOAMAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3110 GRACEFIELD RD, SILVER SPRING, MD 20904-1820
(301) 572-8340
(301) 572-8403
Mailing address
5730 EXECUTIVE DR STE 230, CATONSVILLE, MD 21228-1762
(301) 572-8340
(301) 572-8403
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
068086
GA
207R00000X
Internal Medicine Physician
Primary
D0062929
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014915200
—
MD
01
—
936197-04 & 05
BLUE CROSS/BLUE SHIELD
MD
01
—
S062-0382
BLUE CROSS/BLUE SHIELD - REGIONAL
MD
Enumeration date
08/16/2006
Last updated
01/19/2024
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