Michael Ravegum, CP, BOCPO

NPI #1386185346 in Towson, Maryland

Provider Information

NPI Number: 1386185346
Entity Type: Individual
Name: Michael Ravegum, CP, BOCPO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: CP, BOCPO
Enumeration Date: Mar 10, 2017
Last Updated: Mar 10, 2017

Practice Location

Address: 32 WEST RD
Address 2: SUITE 120
City: Towson
State: Maryland
ZIP Code: 21204-2302
Phone: (717) 515-6000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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