Search › Maryland › 171M00000X
Bertrand Boma
NPI 1881563708 · on the registry since 2025 · sole proprietor
Practice
- Address
- 2307 Wadlow Ln
Hanover, MD 21076 - Phone
- (301) 682-1311
- Fax
- (301) 682-1311
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Also registered as
- 374U00000X
- Licence states on file
- DC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-11-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland