DR. MARK J BOYTIM M.D. NPI 1104857697

NPI Information

NPI: 1104857697
Provider Name: DR. MARK J BOYTIM, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
701 SAVANNAH RD
SUITE B
LEWES, DE
ZIP 19958
Phone: (302) 645-2805
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DR. Mark J Boytim, M.D. is a specialist in Lewes, DE. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Mark J Boytim, M.D. NPI is 1104857697. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

701 SAVANNAH RD
SUITE B
LEWES, DE
ZIP 19958-550
Phone: (302) 645-2805
Fax: (302) 645-1164

The enumeration date for this NPI number is 7/5/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		C1-0003326	DELAWARE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	016056C94	MEDICARE ID-TYPE UNSPECIFIED	DELAWARE	MEDICARE
2	P00233933	MEDICARE ID-TYPE UNSPECIFIED	DELAWARE	RAILROAD MEDICARE
3	0000089201	MEDICAID	DELAWARE
4	E21844	MEDICARE UPIN	DELAWARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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