Organization Name: | DENIS A. BOYLE JR MD |
NPI Number: | 1811164957 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DENIS A BOYLE (MEDICAL DOCTOR) |
Mailing Address: | 111 Long Ln Upper Darby |
State: | PA US |
Postal Code: | 190823112 |
Phone Number: | 6103527816 |
Fax Number: | 6103521423 |
NPI Enumeration Date: | 05/08/2008 |
NPI Last Update Date: | 04/28/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 039066L |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |