Individual
BRANKO BOJOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-6704
(410) 328-4124
Mailing address
PO BOX 64793, BALTIMORE, MD 21264-4793
(410) 328-6704
(410) 328-4124
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
221840
MA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
D72525
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0142
BLUE CROSS
MD
05
—
420596100
—
MD
Enumeration date
07/20/2007
Last updated
05/01/2013
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