Individual
MR. BOAZ OFEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2003 STULTS RD STE 120, HUNTINGTON, IN 46750
(260) 454-0425
(260) 355-0299
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01051920
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000386735
ANTHEM BCBS
IN
05
—
200252260
—
IN
Enumeration date
12/05/2006
Last updated
10/20/2022
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