Individual
MR. PHILIP BENJAMIN BOVELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11701 LIVINGSTON ROAD, STE 204, FORT WASHINGTON, MD 20744-5104
(301) 292-0757
Mailing address
11701 LIVINGSTON ROAD, STE 204, FORT WASHINGTON, MD 20744-5104
(301) 292-0757
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
D0020121
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02663880
—
DC
05
—
354161400
—
MD
Enumeration date
02/27/2008
Last updated
05/15/2009
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