Provider Demographics
NPI:1639149248
Name:BOND, HOWARD H (MD)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:H
Last Name:BOND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2330 BALDWIN MILL RD
Mailing Address - Street 2:
Mailing Address - City:FALLSTON
Mailing Address - State:MD
Mailing Address - Zip Code:21047-1334
Mailing Address - Country:US
Mailing Address - Phone:410-790-0978
Mailing Address - Fax:
Practice Address - Street 1:2330 BALDWIN MILL RD
Practice Address - Street 2:
Practice Address - City:FALLSTON
Practice Address - State:MD
Practice Address - Zip Code:21047-1334
Practice Address - Country:US
Practice Address - Phone:410-790-0978
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-25
Last Update Date:2016-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0019793208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD521113687OtherTAX ID
MD521113687OtherTAX ID
MD521113687OtherTAX ID
MD188311900Medicaid