Individual
DR. PATRICK T BOYLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9485 MENTOR AVE, SUITE 214, MENTOR, OH 44060-4597
(440) 205-9119
Mailing address
9485 MENTOR AVE STE 203, MENTOR, OH 44060-8723
(440) 205-9119
(440) 205-9209
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
35.072046
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89135FJ
—
NC
Enumeration date
07/13/2006
Last updated
03/02/2020
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