Individual
MARK E BOYKIW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
841 HOSPITAL RD, SUITE 3100, INDIANA, PA 15701-3620
(724) 349-3170
(724) 349-3410
Mailing address
841 HOSPITAL RD, SUITE 3100, INDIANA, PA 15701-3620
(724) 349-3170
(724) 349-3410
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD021715E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008638910003
—
PA
01
—
020046431
RAILROAD MEDICARE
PA
01
—
1277920
UMWA FUNDS
PA
01
—
1503139
GATEWAY HEALTH PLAN
PA
01
—
252167
UPMC
PA
01
—
5479306
AETNA
PA
Enumeration date
08/10/2005
Last updated
04/24/2013
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