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Individual

MARVIN TILLMAN BOYD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
350 BOULVARD THE BOYD RENAL CLINIC, ST. MARY'S HOSPITAL AMBULATORY SERVICES,, PASSAIC, NJ 07055
(973) 594-7800
(973) 594-7801
Mailing address
PO BOX 2306, PATERSON, NJ 07509-2306
(973) 742-3300
(973) 582-0600

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
25MA03839300
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0371106
NJ
Enumeration date
02/02/2007
Last updated
10/02/2012
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