MEDICARE: DR. JEFFREY J BOXER 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	208000000X	Pediatrics Physician	C1-0011773	DE

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

General Provider Information

NPI Number	:	1659353217
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY J BOXER MD

Provider Business Mailing Address
First Line	:	18947 JOHN J WILLIAMS HWY
Second Line	:	SUITE 212
City	:	REHOBOTH BEACH
State	:	DE
Zip	:	19971-4474
Country	:	US
Telephone Number	:	302-645-8212
Fax Number	:	302-645-2199

Provider Business Practice Location Address
First Line	:	18947 JOHN J WILLIAMS HWY
Second Line	:	SUITE 212
City	:	REHOBOTH BEACH
State	:	DE
Zip	:	19971-4474
Country	:	US
Telephone Number	:	302-645-8212
Fax Number	:	302-645-2199

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

Provider Enumeration Date	:	11/17/2005
Last Update Date	:	01/18/2023

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