DR. BRUCE M BOMAN (NPI# 1275556516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275556516 |
| Entity Type | Individual |
| Full Name | DR. BRUCE M BOMAN |
| Credential | MD |
| Practice Address |
4701 Ogletown Stanton Rd Ste 2200 Newark DE 19713-7000 |
| Practice Telephone | 3026234500 |
| Practice Fax Number | 3026234845 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2019-05-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MD066107L | PA | Allopathic & Osteopathic Physicians |
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
C1-0008583 | DE | Allopathic & Osteopathic Physicians |
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
MD066107L | PA | Allopathic & Osteopathic Physicians |
| N | 207SC0300X |
Medical Genetics Specialization: Clinical Cytogenetic |
MD066107L | PA | Allopathic & Osteopathic Physicians |
| Y | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
C1-0008583 | DE | Allopathic & Osteopathic Physicians |
| N | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
MD066107L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 001715777 | 05 | |
| NJ | 7698003 | 05 |
| Street Address |
4701 OGLETOWN STANTON RD STE 2200 |
| City | NEWARK |
| State | DE |
| Zip Code | 19713-7000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831700863 | Lacie Mehr | Genetic Counselor, MS | 4701 Ogletown Stanton Rd Ste 2200, Newark, DE 19713-7000 | 2020-08-13 |
| 1720696461 | Nicole M Lester | Genetic Counselor, MS | 4701 Ogletown Stanton Rd Ste 2200, Newark, DE 19713-7000 | 2020-07-20 |
| 1740821834 | Gabrielle S Eisenberg | Genetic Counselor, MS | 4701 Ogletown Stanton Rd Ste 2200, Newark, DE 19713-7000 | 2019-10-01 |
| 1669959342 | Emily V Monnoleto | Dietitian, Registered | 4701 Ogletown Stanton Rd Ste 2200, Newark, DE 19713-7000 | 2018-07-25 |
| 1710463955 | Ashton C Wolfe | Genetic Counselor, MS | 4701 Ogletown Stanton Rd Ste 2200, Newark, DE 19713 | 2018-07-11 |
| 1285110429 | Chau Q Nguyen | Genetic Counselor, MS | 4701 Ogletown Stanton Rd Ste 2200, Newark, DE 19713 | 2018-07-11 |
| 1437678018 | Hillary L Howrey | Psychologist | 4701 Ogletown Stanton Rd Ste 2200, Newark, DE 19713-7000 | 2017-09-14 |
| 1336677657 | Kacie L Baker | Genetic Counselor, MS | 4701 Ogletown Stanton Rd Ste 2200, Newark, DE 19713-7000 | 2017-05-31 |
| 1659586352 | Pawel T Pomianowski | Internal Medicine | 4701 Ogletown Stanton Rd Ste 2200, Newark, DE 19713-7000 | 2007-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574490 | Stacie Guyton | Nurse Practitioner | 4501 Ogletown Stanton Road, Newark, DE 19713 | 2020-09-25 |
| 1225674633 | Michael Francis Stant | Specialist/Technologist | Delaware Field House, 617 South College Avenue Rm 111b, Newark, DE 19713 | 2019-11-20 |
| 1528559457 | Sarah Mun | Physician Assistant | 4755 Ogletown Stanton Rd, Newark, DE 19713 | 2018-05-26 |
| 1568983286 | Clarice Wanisku Kariuki | Licensed Practical Nurse | 15 Prestbury Square, Suite 14, Nweark, DE 19713 | 2017-07-03 |
| 1679029870 | Auxilia Akala | Nurse Practitioner | 1082 Churchmans Rd, Newrk, DE 19713 | 2016-08-28 |
| 1003369851 | Yawar Abbas | Psychiatry & Neurology | Rockford Center, 100 Rockford Dr, Newark, DE 19713 | 2016-07-28 |
| 1700245925 | Debra Hutz | Counselor | 25 Omega Dr., Professional Center #j, Newark, DE 19713 | 2016-02-16 |
| 1376918201 | Aquiles Igleisias | Speech-Language Pathologist | 540 South College Avenue, Newark, DE 19713 | 2015-12-03 |
| 1639547359 | Kylee Rose | Social Worker | 901 S. Chapel Street, Newark, DE 19713 | 2015-09-11 |
| 1932503976 | Kathleen Madara | Physical Therapist | 540 S College Ave, Suite 210, University of Delaware, Newark, DE 19713 | 2014-10-20 |
| Find all providers in zip 19713 | ||||
| Taxonomy Code | 207SG0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Medical Genetics |
| Specialization | Clinical Genetics (M.D.) |
| A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932351137 | Christopher John Simotas | Medical Genetics | 90 Bergen Street, Doctors Office Complex Suite 5400, Newark, NJ 07103-2425 | 2008-10-21 |
| 1659403061 | Maria D Schwab | Medical Genetics | 183 South Orange Ave, Bhsb F Level 1425, Newark, NJ 07103-2757 | 2007-03-12 |
| 1639243090 | Beth A Pletcher | Medical Genetics | 90 Bergen St, Doc 5400, Newark, NJ 07103-2425 | 2006-11-20 |
| 1831260769 | Ling-yu Shih | Medical Genetics | 90 Bergen St, Doc 5100, Newark, NJ 07103-2425 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710976642 | Wadia R Mulla | Medical Genetics | 1060 S Governors Ave, Suite 102, Dover, DE 19904-6920 | 2005-10-13 |
| 1184803660 | Julie Daina Kaplan | Medical Genetics | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2007-10-31 |
| 1932301512 | Nina Powell-hamilton | Medical Genetics | 1600 Rockland Rd, Medical Genetics, Wilmington, DE 19803-3607 | 2007-06-05 |
| 1457400855 | Robert L. Brent | Medical Genetics | A.i. Dupont Hospital for Children, 1600 Rockland Road, Wilmington, DE 19803-3607 | 2007-01-09 |
| 1235229972 | N. Carolyn Schanen | Medical Genetics | 1600 Rockland Rd, Ai Dupont Hospital for Children, Wilmington, DE 19803-3607 | 2006-10-13 |
| 1609968437 | Charles I. Scott Jr. | Medical Genetics | A.i. Dupont Hospital for Children, 1600 Rockland Road, Wilmington, DE 19803-3607 | 2006-09-29 |
| 1790877678 | Karen W. Gripp | Medical Genetics | A.i. Dupont Hospital for Children, 1600 Rockland Road, Wilmington, DE 19803-3607 | 2006-09-29 |
| 1104917483 | Louis E. Bartoshesky | Medical Genetics | A.i. Dupont Hospital for Children, 1600 Rockland Road, Wilmington, DE 19803-3607 | 2006-09-28 |
| 1255422531 | Michael B. Bober | Medical Genetics | A.i. Dupont Hospital for Children, 1600 Rockland Road, Wilmington, DE 19803-3607 | 2006-09-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.