person
Thomas A Bostaph, CRNP
Adult Health Nurse Practitioner in Cumberland, Maryland
NPI 1093769127

Thomas A Bostaph is an Adult Health Nurse Practitioner based in Cumberland, MD and is specialized in Adult Health. Thomas A Bostaph practices in Cumberland, MD and has the professional credentials of CRNP. The NPI Number for Thomas A Bostaph is 1093769127 and holds a License No. R087737 (Maryland).

The current practice location address for Thomas A Bostaph is 1602 Ford Ave, Cumberland, MD and can be reached out via phone at 301-759-4544 and via fax at 301-723-4446. You can also correspond with Thomas A Bostaph through the mailing address at 1602 FORD AVE, CUMBERLAND, MD - 21502-4612 (mailing address contact number: 301-759-4544).

Location: 1602 Ford Ave, Cumberland, MD, 21502-4612
person
Provider Profile Details
NPI Number
1093769127
Provider Name
Thomas A Bostaph
Credential
CRNP
Provider Entity Type
Individual
Gender
Male
Address
1602 Ford Ave, Cumberland, MD, 21502-4612
Phone Number
301-759-4544
Fax Number
301-723-4446
Provider Enumeration Date
05/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
754LA787 01 MEDICARE
342102300 05 MD
institution
Provider Business Practice Location Address Details
Address
1602 Ford Ave
City
State
Zip
21502-4612
Phone Number
301-759-4544
Fax Number
301-723-4446
person
Provider Business Mailing Address Details
Address
1602 Ford Ave
City
State
Zip
21502-4612
Phone Number
301-759-4544
Fax Number
301-723-4446
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
R087737 (Maryland)
Definition
Definition to come...
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