Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | 006795 | ME |
NPI | 1073532412 |
---|---|
Provider Name | Marjorie Ann Boyd |
First Address | Portland, ME 04102-3101 |
Second Address | Portland, ME 04102-3101 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
006795 | TUFTS (01) | ME |
014445 | ANTHEM FEDERAL & HMO'S (01) | ME |
2019922 | (05) | MA |
600211 | MARTINS POINT HEALTH CARE (01) | ME |
99904253 | (05) | NH |
E000973 | CHAMPUS/CHAMPVA (01) | ME |
E03533 | (02) | ME |
M55780 | CIGNA (01) | ME |