Organization
DENIS A. BOYLE JR MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENIS A BOYLE JR. MD (MEDICAL DOCTOR)
(610) 352-7816
Entity
Organization
Contact information
Practice address
111 LONG LN, UPPER DARBY, PA 19082-3112
(610) 352-7816
(610) 352-1423
Mailing address
111 LONG LN, UPPER DARBY, PA 19082-3112
(610) 352-7816
(610) 352-1423
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
039006L
PA
208D00000X
General Practice Physician
039066L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN5595
MEDICARE PTAN
PA
Enumeration date
05/08/2008
Last updated
04/28/2016
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