NPI 1164963880

Justin Michael Boehm

Practitioner Prosthetist Bethesda, MD

Practice location

Address: 4954 N Palmer Rd, Bethesda, MD 20889-1230
Phone: (300) 400-1384
Mailing address: 4954 N Palmer Rd Rm 1500, Bethesda, MD 20889-5630

Registered specialties (2)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

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Orthotist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X

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Registry record

NPI: 1164963880
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Mar 2017
Record last updated: 17 Apr 2024

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.