MEDICARE: LAURA JEAN BONTEMPO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	042808	CT
2	207P00000X	Emergency Medicine Physician	D0074326	MD
3	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	D0074326	MD
4	207RP1001X	Pulmonary Disease Physician	D0074326	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356330104
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA JEAN BONTEMPO MD

Provider Business Mailing Address
First Line	:	PO BOX 64442
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21264-4442
Country	:	US
Telephone Number	:	410-328-8040
Fax Number	:	410-328-9191

Provider Business Practice Location Address
First Line	:	827 LINDEN AVE
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21201-4606
Country	:	US
Telephone Number	:	410-328-8141
Fax Number	:	410-328-9191

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/14/2005
Last Update Date	:	09/10/2025

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Directions to “ LAURA JEAN BONTEMPO MD” Practice Location

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