Individual
BARRY BOSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7945 WOLF RIVER BLVD, SUITE 300, GERMANTOWN, TN 38138-1762
(901) 767-4520
(901) 684-2515
Mailing address
7945 WOLF RIVER BLVD, SUITE 300, GERMANTOWN, TN 38138-1762
(901) 767-4520
(901) 684-2515
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
10091
TN
207RH0003X
Hematology & Oncology Physician
16847
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00123757
—
MS
05
—
101748001
—
AR
01
—
119722
BETTER HEALTH TNCARE
—
01
—
2004579
BLUE CROSS BLUE SHIELD
TN
01
—
2694685
CIGNA
—
01
—
3000094
TLC TNCARE
—
05
—
3163546
—
TN
01
—
4020364
AETNA
—
Enumeration date
07/29/2005
Last updated
10/05/2009
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