Laura Ellen Boggs in Watertown - Internal Medicine

Laura Ellen Boggs - NPI 1013105949

Laura Ellen Boggs is a Internal Medicine in Watertown, New York. Laura Ellen Boggs practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Laura Ellen Boggs is 1013105949. The last update date is 2011-05-19.

Laura Ellen Boggs's current location address is 53-59 Public Square, Watertown, New York. You can contact this provider via phone number 3157822141 and fax number 3157825123. The mailing address for Laura Ellen Boggs is 53-59 Public Square, Watertown, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Laura Ellen Boggs
Address 53-59 Public Square, Watertown, New York
Phone Number 3157822141
Fax Number 3157825123
Sole Proprietor N
Credentials DO

NPI Number Detail

NPI Number 1013105949
Provider Enumeration Date 2007-10-04
Last Updated Date 2011-05-19

Provider Mailing Address Detail

Address 53-59 Public Square
City Watertown
State New York (NY)
Post Code 136012674
Phone Number 3157822141
Fax Number 3157825123

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 250949
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3128838 NY --

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FAQs about Laura Ellen Boggs

What is the unique provider identifier assigned to Laura Ellen Boggs?

The Laura Ellen Boggs has been issued the NPI (National Provider Identifier) 1013105949 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Laura Ellen Boggs?

The Laura Ellen Boggs is physically situated at 53-59 Public Square, in the city of Watertown, state of NY, with the postal code 136012674.

What is Laura Ellen Boggs's specialized field of practice, and what is the corresponding taxonomy classification code?

The Laura Ellen Boggs's area of specialization is Internal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207R00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1013105949 to Laura Ellen Boggs?

The Laura Ellen Boggs received its 1013105949 assignment from the Centers for Medicare & Medicaid Services on 2007-10-04.

When was the information pertaining to Laura Ellen Boggs most recently updated or revised?

The details related to Laura Ellen Boggs, including its address, specialty, and other relevant information, were last updated or revised on 2011-05-19.

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