Individual
JEFFREY MARK BOYKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6707 POWERS BLVD STE 202, PARMA, OH 44129-5464
(440) 743-2380
(440) 743-2381
Mailing address
PO BOX 931591, CLEVELAND, OH 44193-1719
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
34-005779
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2114081
—
OH
Enumeration date
05/18/2006
Last updated
12/01/2020
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