Provider Demographics
NPI:1649319302
Name:BOYNTON, ANTHONY DESANTO (MD)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:DESANTO
Last Name:BOYNTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:196 RAMONA RD
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94526-2826
Mailing Address - Country:US
Mailing Address - Phone:925-838-0970
Mailing Address - Fax:925-449-1501
Practice Address - Street 1:160 AIRWAY BLVD
Practice Address - Street 2:
Practice Address - City:LIVERMORE
Practice Address - State:CA
Practice Address - Zip Code:94551-7600
Practice Address - Country:US
Practice Address - Phone:925-454-0380
Practice Address - Fax:925-449-1501
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG 21268208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice