Provider Demographics
NPI:1073573697
Name:BOYE-DOE, ALEXANDER H (MD)
Entity Type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:H
Last Name:BOYE-DOE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 166
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:OH
Mailing Address - Zip Code:44001-0166
Mailing Address - Country:US
Mailing Address - Phone:440-960-0644
Mailing Address - Fax:440-960-0336
Practice Address - Street 1:5040 OBERLIN AVE
Practice Address - Street 2:
Practice Address - City:LORAIN
Practice Address - State:OH
Practice Address - Zip Code:44053-3432
Practice Address - Country:US
Practice Address - Phone:440-960-0644
Practice Address - Fax:440-960-0336
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-27
Last Update Date:2010-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35044406207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0414984Medicaid
OHBO0473523Medicare PIN
OHC01783Medicare UPIN