Individual
DR. SUSAN ELIZABETH BOYLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2280 OPITZ BLVD, SUITE 120, WOODBRIDGE, VA 22191
(703) 670-3349
(703) 590-3199
Mailing address
9568 KINGS CHARTER DR STE 202, ASHLAND, VA 23005-7955
(804) 266-8717
(804) 266-5677
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
0101040413
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
067883200
—
DC
05
—
7261578
—
VA
Enumeration date
03/21/2006
Last updated
09/07/2018
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