MEDICARE: CLAUDE BOMA M.D.

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	207R00000X	Internal Medicine Physician	MD16900	ME
2	207R00000X	Internal Medicine Physician	016900	ME

General Provider Information

NPI Number	:	1386612372
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAUDE BOMA M.D.

Provider Business Mailing Address
First Line	:	PO BOX 40
Second Line	:
City	:	CARIBOU
State	:	ME
Zip	:	04736-0040
Country	:	US
Telephone Number	:	207-498-2350
Fax Number	:	207-498-2352

Provider Business Practice Location Address
First Line	:	20 HARTFORD STREET
Second Line	:
City	:	HOULTON
State	:	ME
Zip	:	04730-1891
Country	:	US
Telephone Number	:	207-532-9002
Fax Number	:

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

Provider Enumeration Date	:	03/08/2006
Last Update Date	:	07/31/2025

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