Individual
BOISEY O BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1150 VARNUM ST, PROVIDENCE HOSPITAL, WASH, DC 20017
(202) 269-7118
Mailing address
4700 BERWYN HOUSE RD, SUITE 207, COLLEGE PARK, MD 20740
(301) 220-0150
(301) 220-1032
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD5168
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021483900
—
DC
Enumeration date
01/08/2007
Last updated
07/06/2010
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