Provider Demographics
NPI:1346215357
Name:BOYER, AMY M (MD)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:M
Last Name:BOYER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2950 DIAMOND HILL RD
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:RI
Mailing Address - Zip Code:02864-2923
Mailing Address - Country:US
Mailing Address - Phone:401-737-7010
Mailing Address - Fax:401-736-4265
Practice Address - Street 1:455 TOLL GATE RD
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-2759
Practice Address - Country:US
Practice Address - Phone:401-737-7010
Practice Address - Fax:401-736-4265
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2016-04-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
RI11157207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI7010523Medicaid
RIH88067Medicare UPIN
RI7010523Medicaid