Individual
DEREK O'KOFI BOAHENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 N CAROLINE ST, BALTIMORE, MD 21287-0006
(410) 955-1686
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
D63373
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
408420900
—
MD
Enumeration date
04/22/2006
Last updated
04/12/2023
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