National Provider Identifier Database

RICHARD C BOISE, MD – NPI #1255483483
Adolescent Medicine

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.


Contact Information

RICHARD C BOISE, MD
3400 DELTA FAIR BLVD
ANTIOCH, CA94509-4004
Phone: 925-779-5000
Fax:
Website:
Specialty Taxonomy Code
* Adolescent Medicine 2080A0000X

* Indicates primary specialty

NPI Profile & details for RICHARD C BOISE

NPI Number 1255483483
Credentials MD
Entity Individual
Enumeration date 01/17/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 No
Identifiers
  • CA License #: G36281
  • CA Medicaid: 00G362810
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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