Organization
MARK E. BOYKIW, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK E BOYKIW M.D. (SOLE PROPRIETOR)
(724) 349-3170
Entity
Organization
Contact information
Practice address
841 HOSPITAL RD, SUITE 3100, INDIANA, PA 15701-3620
(724) 349-3170
(724) 349-3410
Mailing address
841 HOSPITAL ROAD, SUITE 3100, INDIANA, PA 15701
(724) 349-3170
(724) 349-3410
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD021715E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008638910003
—
PA
01
—
1277920
FUNDS
—
01
—
1503139
GATEWAY
PA
01
—
252167
UPMC
PA
01
—
5479306
AETNA
PA
01
—
8169517
CIGNA
PA
Enumeration date
05/26/2006
Last updated
08/22/2020
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