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NPI Code Detail

MEDICARE: DR. CRAIG E. BOYAJIAN M.D.

MEDICARE: DR. CRAIG E. BOYAJIAN 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
12084P0800XPsychiatry Physician80730MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1J18175OTHERMABLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1831188200
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CRAIG E. BOYAJIAN M.D.
Provider Business Mailing Address
First Line : 115 MILL ST
Second Line :
City : BELMONT
State : MA
Zip : 02478-1064
Country : US
Telephone Number : 617-855-2234
Fax Number : 617-855-2699
Provider Business Practice Location Address
First Line : 115 MILL ST
Second Line :
City : BELMONT
State : MA
Zip : 02478-1064
Country : US
Telephone Number : 617-855-2234
Fax Number : 617-855-2699
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2005
Last Update Date : 07/01/2016

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