Individual
RAYMOND J. BOYLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-3271
(508) 856-5911
Mailing address
6 LACONIA RD, WORCESTER, MA 01609-1508
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
209228
MA
207LP2900X
Pain Medicine (Anesthesiology) Physician
209228
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110080916A
—
MA
Enumeration date
12/28/2005
Last updated
05/14/2021
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