Basic Information
| Provider Information | |||||||||
| NPI: | 1528050648 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BOUNDS | ||||||||
| FirstName: | CHRISTIAN | ||||||||
| MiddleName: | DENNIS | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 106 MILFORD ST | ||||||||
| Address2: | SUITE 605 | ||||||||
| City: | SALISBURY | ||||||||
| State: | MD | ||||||||
| PostalCode: | 218046953 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4103342227 | ||||||||
| FaxNumber: | 4103343962 | ||||||||
| Practice Location | |||||||||
| Address1: | 106 MILFORD ST | ||||||||
| Address2: | SUITE 605 | ||||||||
| City: | SALISBURY | ||||||||
| State: | MD | ||||||||
| PostalCode: | 218046953 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4103342227 | ||||||||
| FaxNumber: | 4103343962 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/16/2005 | ||||||||
| LastUpdateDate: | 04/09/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 174400000X | D0055427 | MD | N | Other Service Providers | Specialist | 207RI0011X | D0055427 | MD | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Interventional Cardiology |
No ID Information.