Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 38693 | GA |
NPI | 1154397677 |
---|---|
Provider Name | Dr. Joseph F Boveri |
First Address | Atlanta, GA 30319-1220 |
Second Address | Atlanta, GA 30342-1342 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/02/2006 |
Last Update Date | 19/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A13781 | (02) |