Healthcare Provider Details
I. General information
NPI: 1831135631
Provider Name (Legal Business Name): JAMES W. BOYLE, M.D., & ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/21/2006
Last Update Date: 08/22/2020
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
9104 BABCOCK BLVD SUITE 1106
PITTSBURGH PA
15237-5818
US
V. Phone/Fax
- Phone: 412-366-6841
- Fax: 412-366-8687
- Phone: 412-366-6841
- Fax: 412-366-8687
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JAMES
W.
BOYLE
Title or Position: PRESIDENT
Credential: MD
Phone: 412-366-6841