Individual
MICHAEL BOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3300 GALLOWS RD, EMERGENCY DEPARTMENT, FALLS CHURCH, VA 22042-3307
(703) 698-3111
(904) 346-0113
Mailing address
PO BOX 75567, BALTIMORE, MD 21275-5567
(703) 205-9790
(904) 346-0113
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101048028
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010294622
—
VA
05
—
03085494
—
NY
01
—
P00357013
RAILROAD MEDICARE
VA
Enumeration date
07/24/2006
Last updated
08/24/2009
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