Individual
DOUGLAS C BOXER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1896 MORRIS AVE, UNION, NJ 07083
(973) 535-1750
(973) 535-1750
Mailing address
PO BOX 216, MILLBURN, NJ 07041-0216
(973) 535-1750
(973) 535-1750
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA07014900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
049434A2V
MEDICARE
NJ
01
—
2049040000
AMERIHEALTH
—
01
—
2K7280
HEALTHNET
—
05
—
8517908
—
NJ
01
—
P00151060
RAILROAD CARE
—
Enumeration date
06/15/2006
Last updated
05/13/2011
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