MEDICARE: DR. MICHAEL FRANCIS BOYEK 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
1	207Q00000X	Family Medicine Physician	MD022787-E	PA

General Provider Information

NPI Number	:	1831117985
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL FRANCIS BOYEK M.D.

Provider Business Mailing Address
First Line	:	319 WILLIAM ST
Second Line	:
City	:	TOWANDA
State	:	PA
Zip	:	18848-2025
Country	:	US
Telephone Number	:	570-265-5616
Fax Number	:

Provider Business Practice Location Address
First Line	:	1537 ELMIRA ST
Second Line	:
City	:	SAYRE
State	:	PA
Zip	:	18840-9254
Country	:	US
Telephone Number	:	570-888-6803
Fax Number	:	570-888-5512

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

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	07/08/2007

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