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Individual

MR. JOHN CHARLES BOYLAN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
200 LOTHROP ST, PITTSBURGH, PA 15213-2536
(412) 647-2345
Mailing address
333 LEHIGH AVE, PITTSBURGH, PA 15232-2007
(610) 451-9150

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN676563
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3348497
STUDENT ID
PA
Enumeration date
01/15/2020
Last updated
01/15/2020
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