Provider Demographics
NPI:1447315163
Name:BONE, PAUL AUBREY (MD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:AUBREY
Last Name:BONE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:10905 FORT WASHINGTON RD
Mailing Address - Street 2:SUITE 206
Mailing Address - City:FORT WASHINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20744-5843
Mailing Address - Country:US
Mailing Address - Phone:301-292-2400
Mailing Address - Fax:301-292-1048
Practice Address - Street 1:10905 FORT WASHINGTON RD
Practice Address - Street 2:SUITE 206
Practice Address - City:FORT WASHINGTON
Practice Address - State:MD
Practice Address - Zip Code:20744-5843
Practice Address - Country:US
Practice Address - Phone:301-292-2400
Practice Address - Fax:301-292-1048
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-22
Last Update Date:2011-12-13
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Provider Licenses
StateLicense IDTaxonomies
MDD46285207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDF99504Medicare UPIN