| Doctor Name: | DR. CAESAR ANTONIO BOONE |
| NPI Number: | 1134553787 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.P.M. |
| License Number: | 0103-301097 |
| Business Practice Address: | 6302 Caryhurst Dr Fort Washington, MD - 207443115 |
| Business Phone Number: | 2404135897 |
| Business Fax Number: | |
| Mailing Address: | 6302 Caryhurst Dr, FORT WASHINGTON |
| State: | MD |
| Postal Code: | 207443115 |
| Phone Number: | 2404135897 |
| Fax Number: | |
| NPI Enumeration Date: | 08/29/2013 |
| NPI Last Update Date: | 08/29/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213EP1101X |
| License Number: | 0103-301097 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Primary Podiatric Medicine |
| Taxonomy Definition: | |