MEDICARE: CHARLES R BOICE 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	207VX0201X	Gynecologic Oncology Physician	D0029142	MD

General Provider Information

NPI Number	:	1740263425
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLES R BOICE MD

Provider Business Mailing Address
First Line	:	10301 GEORGIA AVE
Second Line	:	STE 205
City	:	SILVER SPRING
State	:	MD
Zip	:	20902-5020
Country	:	US
Telephone Number	:	301-592-1600
Fax Number	:	301-592-1602

Provider Business Practice Location Address
First Line	:	10301 GEORGIA AVE
Second Line	:	STE 205
City	:	SILVER SPRING
State	:	MD
Zip	:	20902-5020
Country	:	US
Telephone Number	:	301-592-1600
Fax Number	:	301-592-1602

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

Provider Enumeration Date	:	11/27/2005
Last Update Date	:	10/28/2011

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Directions to “ CHARLES R BOICE MD” Practice Location

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