Individual
DR. ROBERT CHARLES VANDEN BOSCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6501 BALTIMORE NATIONAL PIKE STE D, CATONSVILLE, MD 21228-3923
(667) 234-2100
(667) 234-2944
Mailing address
6501 BALTIMORE NATIONAL PIKE STE D, CATONSVILLE, MD 21228-3923
(667) 234-2100
(667) 234-2944
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D57461
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
699737600
—
MD
Enumeration date
05/20/2006
Last updated
05/02/2019
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