Boxerman, Jerrold L

Boxerman, Jerrold L is an individual health care provider with primary practice located at 593 Eddy St , Providence RI 02903-4923. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Boxerman, Jerrold L can be contacted via phone (401) 444-5174.

Contact Information

Primary practice address
593 Eddy St Providence RI 02903-4923
Phone: (401) 444-5174
Fax: (401) 453-8220
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 213422 Massachusetts
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD10844 Rhode Island

Profile Details

NPI number 1538150008
LBN Legal business name Boxerman, Jerrold L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Mar 15th, 2024 - about 6 months 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 1538150008 NPPES
Other 0184900 MASSMEDICAID
Other 7009870 MASSMEDICAID
Other 050318025 MASSMEDICAID
Other 300131996 MASSMEDICAID
Other 003117331 MASSMEDICAID
Other 007009871 MASSMEDICAID
Other 243634 MASSMEDICAID
Other 80744 MASSMEDICAID
Other 16 50203 MASSMEDICAID
Other 409911 MASSMEDICAID
Other 7767985003 MASSMEDICAID
Other 010844 MASSMEDICAID
Other 409911 MASSMEDICAID

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