Individual
BRYAN BOYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5 S WASHINGTON AVE, JERMYN, PA 18433-1121
(570) 230-0019
Mailing address
207 7TH ST, VANDLING, PA 18421-1736
(570) 840-7438
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA061058
PA
Other
Enumeration date
09/30/2019
Last updated
12/11/2020
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