Keith Jay Dreyer in Boston - Diagnostic Radiology
Keith Jay Dreyer - NPI 1962493478
Keith Jay Dreyer is a Diagnostic Radiology in Boston, Massachusetts. Keith Jay Dreyer practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Keith Jay Dreyer is 1962493478. The last update date is 2012-07-26.
Keith Jay Dreyer's current location address is 55 Fruit St, Boston, Massachusetts. You can contact this provider via phone number 6177241962 and fax number 6177245597. The mailing address for Keith Jay Dreyer is 55 Fruit St, Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keith Jay Dreyer |
|---|---|
| Address | 55 Fruit St, Boston, Massachusetts |
| Phone Number | 6177241962 |
| Fax Number | 6177245597 |
| Sole Proprietor | N |
| Credentials | DO PHD |
NPI Number Detail
| NPI Number | 1962493478 |
|---|---|
| Provider Enumeration Date | 2005-11-03 |
| Last Updated Date | 2012-07-26 |
Provider Mailing Address Detail
| Address | 55 Fruit St |
|---|---|
| City | Boston |
| State | Massachusetts (MA) |
| Post Code | 21142696 |
| Phone Number | 6177241962 |
| Fax Number | 6177245597 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 79753 |
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Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| J30723 | MA | BCBS MA | |
| 750053 | MA | TUFTS HEALTH PLAN | |
| 3128504 | MA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Keith Jay Dreyer by the Centers for Medicare & Medicaid Services?
The Keith Jay Dreyer has been issued the NPI (National Provider Identifier) 1962493478, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Keith Jay Dreyer?
The Keith Jay Dreyer is situated at 55 Fruit St, in the city of Boston, state of MA, with the zip code 21142696.
What is the Keith Jay Dreyer's specialty and taxonomy code?
The Keith Jay Dreyer's specialty is Diagnostic Radiology, and the corresponding taxonomy code is 2085R0202X.
On what date was the 1962493478 assigned to Keith Jay Dreyer?
The Keith Jay Dreyer was issued its 1962493478 on 2005-11-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Keith Jay Dreyer most recently updated or revised?
The information pertaining to Keith Jay Dreyer, including its address, specialty, and other relevant details, was last updated or revised on 2012-07-26.