| Organization Name: | SAMUEL BOJAR MD PC |
| NPI Number: | 1063566032 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SAMUEL BOJAR (PRESIDENT) |
| Mailing Address: | 10 Aston Rd Chestnut Hill |
| State: | MA US |
| Postal Code: | 024672216 |
| Phone Number: | 6172778223 |
| Fax Number: | 6175662727 |
| NPI Enumeration Date: | 01/23/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 21806 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |