| Richard Bombach | |
|
10 Warren Road Suite 250 Cockeysville MD 21030-2506 | |
| (410) 683-0572 | |
| Not Available |
| Full Name | Richard Bombach |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 10 Warren Road Suite 250, Cockeysville, Maryland |
| Authorized Official Name and Position | Richard Bombach (MD) |
| Authorized Official Contact | 4106830572 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Bombach 10 Warren Road Suite 250 Cockeysville MD 21030-2506 Ph: () - | Richard Bombach 10 Warren Road Suite 250 Cockeysville MD 21030-2506 Ph: (410) 683-0572 |
| NPI Number | 1306156591 |
|---|---|
| Provider Enumeration Date | 10/21/2010 |
| Last Update Date | 10/21/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306156591 | NPI | - | NPPES |
| 1628 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | D34300 (Maryland) | Primary |
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