Individual
DR. MIRCEA BOICIUC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2033 MEADOWVIEW LN, STE 200, KINGSPORT, TN 37660-7569
(423) 857-2793
(423) 578-8025
Mailing address
PO BOX 9, KINGSPORT, TN 37662-0009
(423) 857-2066
(423) 857-2070
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
40362
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629017025
—
VA
05
—
33360251
—
TN
Enumeration date
06/04/2006
Last updated
05/16/2014
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