Individual
DR. CHARLES GIBSON BOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4415 GUINEVERE LN, POMFRET, MD 20675-3205
(301) 934-4947
Mailing address
4415 GUINEVERE LN, POMFRET, MD 20675-3205
(301) 934-4947
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10409
MD
Other
Enumeration date
08/06/2007
Last updated
08/06/2007
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