Provider Demographics
NPI:1619976438
Name:DUBOYCE, WILLIAM F (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:F
Last Name:DUBOYCE
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 1:12158 CENTRAL AVE
Mailing Address - Street 2:MITCHELLVILLE PLAZA
Mailing Address - City:MITCHELLVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20721-1932
Mailing Address - Country:US
Mailing Address - Phone:301-430-2750
Mailing Address - Fax:301-430-2751
Practice Address - Street 1:12158 CENTRAL AVE
Practice Address - Street 2:MITCHELLVILLE PLAZA
Practice Address - City:MITCHELLVILLE
Practice Address - State:MD
Practice Address - Zip Code:20721-1932
Practice Address - Country:US
Practice Address - Phone:301-430-2750
Practice Address - Fax:301-430-2751
Is Sole Proprietor?:No
Enumeration Date:2005-07-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0047603207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G15578Medicare UPIN
004710Medicare ID - Type Unspecified