Michael Bohdan Bozydaj, IDC
Individual provider Active NPI Independent Duty Corpsman · Thurmont, MD
NPI 1407067259 · NPPES record last updated Feb 19, 2008
Key facts
- NPI
- 1407067259
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Independent Duty Corpsman 1710I1002X
- Practice address
- 14900 Park Central
Thurmont, MD 21788 - Phone
- (301) 271-1460
- NPI assigned
- May 24, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Independent Duty Corpsman | 1710I1002X | Yes |
Addresses
Primary practice location
14900 Park Central
Thurmont, MD 21788
Mailing address
PO Box 1000
Thurmont, MD 21788-5001
Phone (301) 271-1460
Other providers in Thurmont, MD
- Jennifer Kay Barrett
- Vilena Berrios
- Sheila Blank
- Abigya Bogale
- Tina Bolly
- Jessica Brena
- Kathlyn Rachel Brenneman
- Adrian Burney
- Alexis Callaghan
- Catoctin Counseling Center
All providers in Thurmont, MD · Independent Duty Corpsman in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.