Individual provider · Type 1 NPI

Michael Ravegum, CP, BOCPO

Specialist · Towson, MD

NPI number 1386185346 Active

Practice location

32 West Rd, Suite 120
Towson, MD 21204-2302

Mailing address

2708 Eastwood Dr
York, PA 17402-3910

Specialties and licenses

TaxonomyCodeLicense
Specialist 174400000XPO000181 (PA)
Specialist Primary 174400000XOH000262 (PA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1386185346

Michael Ravegum, CP, BOCPO's National Provider Identifier is 1386185346, issued on Mar 10, 2017. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Towson, MD. The record was last updated on Mar 10, 2017.