Individual
DR. SCOTT JOHN BOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1201A N CHURCH ST, SUITE103, HAZLE TOWNSHIP, PA 18202-1471
(570) 455-8544
Mailing address
1201A N CHURCH ST, SUITE103, HAZLE TOWNSHIP, PA 18202-1471
(570) 455-8544
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
OS0091962
PA
207XS0106X
Orthopaedic Hand Surgery Physician
OS0091962
PA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
OS0091962
PA
207XS0117X
Orthopaedic Surgery of the Spine Physician
OS0091962
PA
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
OS0091962
PA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
OS0091962
PA
207XX0801X
Orthopaedic Trauma Physician
OS0091962
PA
208600000X
Surgery Physician
OS0091962
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017960400004
—
PA
01
—
1367821
BLUE SHIELD
PA
01
—
200044211
MC RAILROAD INDIVIDUAL #
PA
01
—
50000335
CBC INDIVIDUAL #
PA
01
—
7133212
AETNA
PA
01
—
814625
FIRST PRIORITY HEALTH
PA
Enumeration date
03/09/2006
Last updated
12/15/2009
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