NPI 1003400094

Brian Michael Boston, LE

Practitioner Specialist Baltimore, MD

Practice location

Address: 1621 Sulgrave Ave, Baltimore, MD 21209-3664
Phone: (410) 578-0033
Mailing address: 707 York Rd APT 5209, Towson, MD 21204-2892

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence E01474 (MD)

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Registry record

NPI: 1003400094
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Feb 2021
Record last updated: 22 Feb 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.