MEDICARE: DR. PAUL AUBREY BONE 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	207Q00000X	Family Medicine Physician	D46285	MD

General Provider Information

NPI Number	:	1447315163
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL AUBREY BONE M.D.

Provider Business Mailing Address
First Line	:	10905 FORT WASHINGTON RD
Second Line	:	SUITE 206
City	:	FORT WASHINGTON
State	:	MD
Zip	:	20744-5843
Country	:	US
Telephone Number	:	301-292-2400
Fax Number	:	301-292-1048

Provider Business Practice Location Address
First Line	:	10905 FORT WASHINGTON RD
Second Line	:	SUITE 206
City	:	FORT WASHINGTON
State	:	MD
Zip	:	20744-5843
Country	:	US
Telephone Number	:	301-292-2400
Fax Number	:	301-292-1048

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

Provider Enumeration Date	:	12/22/2006
Last Update Date	:	12/13/2011

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