Individual
CHARLES E BOYD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
325 E WOODS DR, LITITZ, PA 17543-9253
(717) 823-6125
Mailing address
2461 SANTA MONICA BLVD, SUITE 108, SANTA MONICA, CA 90404-2138
(866) 487-7621
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD072807L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001833251
—
PA
01
—
B04234402
MEDICARE PTAN #
OH
Enumeration date
07/07/2006
Last updated
08/22/2008
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