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Individual

DR. WILLIAM PATRICK BOYAN SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
25006 PURPLE EMPEROR WAY, PUNTA GORDA, FL 33955-6220
(732) 600-0865
Mailing address
25006 PURPLE EMPEROR WAY, PUNTA GORDA, FL 33955-6220
(732) 600-0865

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
25MA04549300
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4807006
NJ
Enumeration date
09/14/2005
Last updated
05/05/2022
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