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Individual
JONATHAN A. BOXER
Active
Individual
JONATHAN A. BOXER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
225275-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02582465
—
NY
01
—
0361S1
BLUE CROSS/ BLUE SHIELD
NY
01
—
2516170
GHI
NY
01
—
3C6484
HEALTHNET
NY
01
—
P3344555
OXFORD
NY
Enumeration date
08/15/2006
Last updated
07/02/2008
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