Boxer, Douglas C

Boxer, Douglas C is an individual health care provider with primary practice located at 1896 Morris Ave , Union NJ 07083. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Boxer, Douglas C can be contacted via phone (973) 535-1750.

Contact Information

Primary practice address
1896 Morris Ave Union NJ 07083
Fax: (973) 535-1750
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 25MA07014900 New Jersey

Profile Details

NPI number 1063456754
LBN Legal business name Boxer, Douglas C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated May 13th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063456754 NPPES
New Jersey Other 049434A2V MEDICARE
New Jersey MEDICAID 8517908 MEDICARE
New Jersey Other 2049040000 MEDICARE
New Jersey Other 2K7280 MEDICARE
New Jersey Other P00151060 MEDICARE

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