Thomas Charles Boysen in Coralville - Procedural Dermatology

Thomas Charles Boysen - NPI 1851475750

Thomas Charles Boysen is a Procedural Dermatology in Coralville, Iowa. Thomas Charles Boysen practices all healthcare services and medical treatments related to Procedural Dermatology. The NPI Number for Thomas Charles Boysen is 1851475750. The last update date is 2008-07-28.

Thomas Charles Boysen's current location address is 501 12th Ave, Coralville, Iowa. You can contact this provider via phone number 3193373177 and fax number 3193410024. The mailing address for Thomas Charles Boysen is 501 12th Ave, Coralville, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Name Thomas Charles Boysen
Address 501 12th Ave, Coralville, Iowa
Phone Number 3193373177
Fax Number 3193410024
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1851475750
Provider Enumeration Date 2006-10-25
Last Updated Date 2008-07-28

Provider Mailing Address Detail

Address 501 12th Ave
City Coralville
State Iowa (IA)
Post Code 522411774
Phone Number 3193373177
Fax Number 3193410024

Provider's Primary Taxonomy Detail

Speciality Procedural Dermatology
Taxonomy 207Ns0135X
Licence No 24303
Definition:
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surge

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
24829 IA WELLMARK BCBS
0000A30001 IA UHC OF RIVER VALLEY
42135 IA --

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FAQs about Thomas Charles Boysen

What is the unique 10-digit identifier code assigned to Thomas Charles Boysen by the Centers for Medicare & Medicaid Services?

The Thomas Charles Boysen has been issued the NPI (National Provider Identifier) 1851475750 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Where is the Thomas Charles Boysen located?

The Thomas Charles Boysen is located at 501 12Th Ave, Coralville, IA 522411774.

What is the Thomas Charles Boysen's specialty and taxonomy code?

The Thomas Charles Boysen's specialty is Procedural Dermatology, and the corresponding taxonomy code is 207Ns0135X.

On what date did Thomas Charles Boysen receive its 1851475750 assignment from the Centers for Medicare & Medicaid Services?

The Thomas Charles Boysen was assigned its 1851475750 on 2006-10-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Thomas Charles Boysen, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Thomas Charles Boysen, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-07-28.

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