Dani Boulattouf M.D.

NPI 1609006618 - Family Medicine - 207Q00000X

NPI Details
NPI 1609006618
Gender Male
Enumeration Date 07/24/2009
Last Updated 01/23/2014
Entity Type Individual
Active Over 7 years ago
Practice Location
8105 RITCHIE HWY
PASADENA MD, 21122-3905, US
Phone (443) 573-0564
Fax (443) 573-0565
Business Location
PO BOX 759047
BALTIMORE MD, 21275-9047, US
Phone
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State South Carolina
License Number MMD.32085 TL
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According to our database, Dani Boulattouf M.D. NPI is 1609006618, taxonomy code is 207Q00000X and license number is MMD.32085 TL, license state is located at South Carolina. Dani Boulattouf M.D. physically located at 8105 Ritchie Hwy, Pasadena MD, 21122-3905. NPI Number Dani Boulattouf M.D. has the Individual type.

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1609006618 NPI number is provided on an as is basis without warranty of any kind. 1609006618 is maintained by the National Plan & Provider Enumeration System. The contents of Dani Boulattouf M.D. are for informational purposes only.