| Julius Boateng, M.d. Pc | |
|
2411 W Belvedere Ave Suite 201 Baltimore MD 21215-5228 | |
| (410) 466-5323 | |
| (410) 466-5130 |
| Full Name | Julius Boateng, M.d. Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2411 W Belvedere Ave, Baltimore, Maryland |
| Authorized Official Name and Position | Julius Boaten (PHYSICIA) |
| Authorized Official Contact | 4104665323 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Julius Boateng, M.d. Pc Po Box 26587 Baltimore MD 21207-0387 Ph: (410) 466-5323 | Julius Boateng, M.d. Pc 2411 W Belvedere Ave Suite 201 Baltimore MD 21215-5228 Ph: (410) 466-5323 |
| NPI Number | 1831573179 |
|---|---|
| Provider Enumeration Date | 07/16/2015 |
| Last Update Date | 07/16/2015 |
| Medicare PECOS PAC ID | 0941518385 |
|---|---|
| Medicare Enrollment ID | O20151005000278 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831573179 | NPI | - | NPPES |
| 230103200 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D46267 (Maryland) | Primary |
| Provider Name | Julius Boateng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093796559 PECOS PAC ID: 5092982645 Enrollment ID: I20120123000157 |
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