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NPI Code Detail

MEDICARE: DR. GEORGE B BOYAR M.D.

MEDICARE: DR. GEORGE B BOYAR M.D.
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
1207RG0100XGastroenterology Physician151892NY

General Provider Information

NPI Number : 1497759740
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GEORGE B BOYAR M.D.
Provider Business Mailing Address
First Line : 848 ROUTE 50
Second Line :
City : BURNT HILLS
State : NY
Zip : 12027-9511
Country : US
Telephone Number : 518-831-1500
Fax Number : 518-280-8464
Provider Business Practice Location Address
First Line : 848 ROUTE 50
Second Line :
City : BURNT HILLS
State : NY
Zip : 12027
Country : US
Telephone Number : 518-831-1500
Fax Number : 518-280-8464
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2005
Last Update Date : 05/30/2018

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