Provider Demographics
NPI:1154479749
Name:BOYAJIAN, RICHARD N (ANP)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:N
Last Name:BOYAJIAN
Suffix:
Gender:M
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 FRANCIS ST
Mailing Address - Street 2:L205
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-6110
Mailing Address - Country:US
Mailing Address - Phone:617-525-9422
Mailing Address - Fax:617-394-2979
Practice Address - Street 1:75 FRANCIS ST
Practice Address - Street 2:L205
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-6110
Practice Address - Country:US
Practice Address - Phone:617-525-9422
Practice Address - Fax:617-394-2979
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2016-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA200839163WX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0200XNursing Service ProvidersRegistered NurseOncology