Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | MD472892 | PA |
NPI | 1043674831 |
---|---|
Provider Name | Brandon Boyd |
First Address | Philadelphia, PA 19107-5114 |
Second Address | Philadelphia, PA 19107-5114 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2016 |
Last Update Date | 30/06/2021 |