Physician Compare National (NPI:1376548172)

HEALTHCARE PROVIDER: JEFFREY R BOXMAN D.O

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1376548172
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7810059631
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090102000208
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BOXMAN
	Individual professional last name
Provider First Name	JEFFREY
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
	Individual professional's medical school
Graduation Year	1992
	Individual professional's medical school graduation year
Primary Specialty	NEUROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	436 CHRIS GAUPP DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 104
	Group Practice or individual's line 2 address
City	GALLOWAY
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	082054487
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y