Individual
RIVKA BOGART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 TEMPLE GATE RD, BALTIMORE, MD 21209-3800
(410) 358-4379
Mailing address
3000 TEMPLE GATE RD, BALTIMORE, MD 21209-3800
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
04025
MD
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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