Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 60196 | MA |
N | 208000000X | Pediatrician | 60196 | MA |
N | 2080P0214X | Pediatric Pulmonologist | 60196 | MA |
NPI | 1285608919 |
---|---|
Provider Name | Dr. Joshua Avram Boyce |
First Address | Brookline, MA 02445 |
Second Address | Chestnut Hill, MA 02467 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2006 |
Last Update Date | 06/08/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3038432 | (05) | MA |
724769 | TUFTS HEALTH PLAN (01) | MA |
D87801 | (02) | |
J07764 | BCBS MA (01) | MA |