Derrick Boyd in Philadelphia - Surgical

Derrick Boyd - NPI 1962668657

Derrick Boyd is a Surgical in Philadelphia, Pennsylvania. Derrick Boyd practices all healthcare services and medical treatments related to Surgical. The NPI Number for Derrick Boyd is 1962668657. The last update date is 2015-05-01.

Derrick Boyd's current location address is 561 Fairthorne Ave., Philadelphia, Pennsylvania. You can contact this provider via phone number 2155823405. The mailing address for Derrick Boyd is 561 Fairthorne Ave., Philadelphia, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Derrick Boyd
Address 561 Fairthorne Ave., Philadelphia, Pennsylvania
Phone Number 2155823405
Fax Number
Sole Proprietor Y
Credentials PA

NPI Number Detail

NPI Number 1962668657
Provider Enumeration Date 2008-08-01
Last Updated Date 2015-05-01

Provider Mailing Address Detail

Address 561 Fairthorne Ave.
City Philadelphia
State Pennsylvania (PA)
Post Code 19128
Phone Number 2155823405
Fax Number

Provider's Primary Taxonomy Detail

Speciality Surgical
Taxonomy 363As0400X
Licence No MA003235L
Definition:
A licensed healthcare professional who assists in providing surgical care under physician supervision.

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FAQs about Derrick Boyd

What is the unique provider identifier assigned to Derrick Boyd?

The Derrick Boyd has been issued the NPI (National Provider Identifier) 1962668657 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Derrick Boyd is located?

The Derrick Boyd is situated at the following address: 561 Fairthorne Ave., Philadelphia, PA, 19128.

What is Derrick Boyd's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Derrick Boyd is Surgical, and the taxonomy classification code that categorizes this area of expertise is 363As0400X.

On what date did the Centers for Medicare & Medicaid Services assign the 1962668657 to Derrick Boyd?

The Centers for Medicare & Medicaid Services assigned the 1962668657 to Derrick Boyd on 2008-08-01.

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

The information related to Derrick Boyd, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-05-01.

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