Individual
DR. ROBERT STEPHEN BULAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4940 EASTERN AVE, BALTIMORE, MD 21224-2735
(410) 550-7030
(410) 550-7861
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
D85562
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1545953
—
LA
Enumeration date
09/29/2006
Last updated
04/04/2023
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