Basic Information
| Provider Information | |||||||||
| NPI: | 1285608919 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BOYCE | ||||||||
| FirstName: | JOSHUA | ||||||||
| MiddleName: | AVRAM | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 111 CYPRESS ST | ||||||||
| Address2: | BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION | ||||||||
| City: | BROOKLINE | ||||||||
| State: | MA | ||||||||
| PostalCode: | 02445 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8573070896 | ||||||||
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| Practice Location | |||||||||
| Address1: | 850 BOYLSTON ST SUITE 540 | ||||||||
| Address2: | BWH RHEUMATOLOGY IMMUNOLOGY AND ALLERGY | ||||||||
| City: | CHESTNUT HILL | ||||||||
| State: | MA | ||||||||
| PostalCode: | 02467 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6172780300 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/17/2006 | ||||||||
| LastUpdateDate: | 08/06/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207K00000X | 60196 | MA | Y | Allopathic & Osteopathic Physicians | Allergy & Immunology | 208000000X | 60196 | MA | N | Allopathic & Osteopathic Physicians | Pediatrics | 2080P0214X | 60196 | MA | N | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Pulmonology |
ID Information
| ID | Type | State | Issuer | Description | 3038432 | 05 | MA | MEDICAID | 724769 | 01 | MA | TUFTS HEALTH PLAN | OTHER | J07764 | 01 | MA | BCBS MA | OTHER |