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Individual
DR. MARK M. BOISKIN
Active
Individual
DR. MARK M. BOISKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A52055
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A520550
BLUE SHIELD OF CA
CA
05
—
00A520550
—
CA
01
—
A520550
LICENSE
CA
01
—
AQ039X
NO. CALIFORNIA PTAN
CA
01
—
WA52055L
SO. CALIFORNIA PTAN
CA
Enumeration date
06/17/2005
Last updated
08/12/2026
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