Individual
GERALD BOYLE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
3259 CATLIN AVE, QUANTICO, VA 22134-5109
(703) 784-1515
Mailing address
3259 CATLIN AVE, QUANTICO, VA 22134-5109
(703) 784-1515
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R107422
MD
Other
Enumeration date
01/19/2006
Last updated
07/08/2007
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