Individual
MRS. MICHELE ROCCO BOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
2301 E ALLEGHENY AVE, SUITE 150, PHILADELPHIA, PA 19134-4427
(215) 926-3535
(215) 926-3536
Mailing address
PO BOX 820933, PHILADELPHIA, PA 19182-0933
(215) 926-3535
(215) 926-3536
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA002517L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
597586
MEDICARE GROUP PTAN TPI
PA
01
—
CD4829
TPI GROUP RAILROAD MEDICARE
PA
Enumeration date
06/02/2006
Last updated
09/25/2013
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