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1104395243
PRAVEEN BOLARUM, MD LLC
FREDERICK, MD
NPI
1104395243
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Entity Type
Organization
Authorized Contact
PRAVEEN K BOLARUM
Provider
301-694-6688
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2018-11-19
Last Update Date
2018-12-06
Business Address
PRAVEEN BOLARUM, MD LLC
3390 URBANA PIKE
FREDERICK, MD 21704-7769
Phone number: 301-810-5415
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Mailing Address
PRAVEEN BOLARUM, MD LLC
3390 URBANA PIKE
FREDERICK, MD 21704-7769
Phone number: 301-694-6688
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