Individual
SANDRA MARCELA BOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
382 W PASSAIC AVE, BLOOMFIELD, NJ 07003-5554
(973) 338-1900
Mailing address
382 W PASSAIC AVE, BLOOMFIELD, NJ 07003-5554
(973) 338-1900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00700300
NJ
Other
Enumeration date
05/19/2022
Last updated
05/24/2022
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