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1356335939

NPI Code Detail

MEDICARE: DR. JAMES E BOSTON MD

MEDICARE: DR. JAMES E BOSTON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208M00000X	Hospitalist Physician	2005-01002	NC
2	207R00000X	Internal Medicine Physician	2005-01002	NC
3	207R00000X	Internal Medicine Physician	225493	NY
4	207R00000X	Internal Medicine Physician	040252	CT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356335939
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES E BOSTON MD

Provider Business Mailing Address
First Line	:	PO BOX 602530
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28260-2530
Country	:	US
Telephone Number	:	910-642-1776
Fax Number	:	910-642-9305

Provider Business Practice Location Address
First Line	:	500 JEFFERSON ST
Second Line	:
City	:	WHITEVILLE
State	:	NC
Zip	:	28472-3634
Country	:	US
Telephone Number	:	910-642-1776
Fax Number	:	910-642-9305

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/09/2005
Last Update Date	:	12/08/2017

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Directions to “ DR. JAMES E BOSTON MD” Practice Location

Language	Start Address	Practice Location

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