| Doctor Name: | DR. EDWARD GRAY BOSTON |
| NPI Number: | 1356331979 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 0101058435 |
| Business Practice Address: | 576 Jefferson Ave Fort Eustis, VA - 236041602 |
| Business Phone Number: | 7573147961 |
| Business Fax Number: | 7573147726 |
| Mailing Address: | 1718 Yorktown Rd, YORKTOWN |
| State: | VA |
| Postal Code: | 236933028 |
| Phone Number: | 7573147961 |
| Fax Number: | 7573147726 |
| NPI Enumeration Date: | 10/25/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | 0101058435 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |