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Peter D Boasberg, MD
Hematology & Oncology Physician in Santa Monica, California
NPI 1417982331

Peter D Boasberg is a Hematology & Oncology Physician based in Santa Monica, CA and is specialized in Hematology & Oncology. Peter D Boasberg practices in Santa Monica, CA and has the professional credentials of MD. The NPI Number for Peter D Boasberg is 1417982331 and holds a License No. G20643 (California).

The current practice location address for Peter D Boasberg is 2001 Santa Monica Blvd, Santa Monica, CA and can be reached out via phone at 310-582-7900 and via fax at 310-582-7946.

Location: 2001 Santa Monica Blvd, Santa Monica, CA, 90404-2102
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417982331
Provider Name
Peter D Boasberg
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2001 Santa Monica Blvd, Santa Monica, CA, 90404-2102
Phone Number
310-582-7900
Fax Number
310-582-7946
Provider Enumeration Date
07/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
G20643 01 CA MEDICAL LICENSE
W15185A 01 CA MEDICARE PTAN - FACILITY
W15185 01 CA MEDICARE PTAN - FACILITY
institution
Provider Business Practice Location Address Details
Address
2001 Santa Monica Blvd
City
Santa Monica
State
California
Zip
90404-2102
Phone Number
310-582-7900
Fax Number
310-582-7946
person
Provider Business Mailing Address Details
Address
2001 Santa Monica Blvd
City
Santa Monica
State
California
Zip
90404-2102
Phone Number
310-582-7900
Fax Number
310-582-7946
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
G20643 (California)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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