Provider Demographics
NPI:1285608919
Name:BOYCE, JOSHUA AVRAM (MD)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:AVRAM
Last Name:BOYCE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:111 CYPRESS ST
Mailing Address - Street 2:BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02445
Mailing Address - Country:US
Mailing Address - Phone:857-307-0896
Mailing Address - Fax:
Practice Address - Street 1:850 BOYLSTON ST SUITE 540
Practice Address - Street 2:BWH RHEUMATOLOGY IMMUNOLOGY AND ALLERGY
Practice Address - City:CHESTNUT HILL
Practice Address - State:MA
Practice Address - Zip Code:02467
Practice Address - Country:US
Practice Address - Phone:617-278-0300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-17
Last Update Date:2012-08-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA60196207K00000X, 208000000X, 2080P0214X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3038432Medicaid
MA724769OtherTUFTS HEALTH PLAN
MAJ07764OtherBCBS MA
MA724769OtherTUFTS HEALTH PLAN
D87801Medicare UPIN