Individual
RAYMOND BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3941 FERRARA DR, WHEATON, MD 20906-4709
(301) 942-5355
Mailing address
3941 FERRARA DR, WHEATON, MD 20906-4709
(301) 942-5355
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
D0021340
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
314731200
—
MD
Enumeration date
07/08/2005
Last updated
11/13/2009
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