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Individual

DR. FRANK HARRISON BOEHM JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2408 GENESEE ST, UTICA, NY 13502
(315) 738-7899
(315) 738-7669
Mailing address
2408 GENESEE ST, UTICA, NY 13502-5813
(315) 738-7899
(315) 738-7669

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
164756
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01245849
NY
01
164756-9
WCB/NYS
NY
Enumeration date
07/29/2008
Last updated
07/29/2008
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