Healthcare Provider Details
I. General information
NPI: 1578541165
Provider Name (Legal Business Name): JAMES W BOYLE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/04/2006
Last Update Date: 02/06/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9104 BABCOCK BLVD SUITE 1106
PITTSBURGH PA
15237-5818
US
IV. Provider business mailing address
126 EISELE RD
CHESWICK PA
15024-4200
US
V. Phone/Fax
- Phone: 412-366-6841
- Fax: 412-366-8687
- Phone: 412-767-4516
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | MD035609E |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RG0300X |
| Taxonomy | Geriatric Medicine (Internal Medicine) Physician |
| License Number | MD035609E |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: