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NPI Code Detail

MEDICARE: JOHN BOYLE MD

MEDICARE:   JOHN  BOYLE  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Y00000XOtolaryngology Physician2022-00883NC

General Provider Information

NPI Number : 1104357706
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN BOYLE MD
Provider Business Mailing Address
First Line : 6727 PARKER FARM DR
Second Line :
City : WILMINGTON
State : NC
Zip : 28405-3176
Country : US
Telephone Number : 910-509-7474
Fax Number :
Provider Business Practice Location Address
First Line : 6727 PARKER FARM DR
Second Line :
City : WILMINGTON
State : NC
Zip : 28405-3176
Country : US
Telephone Number : 910-509-7474
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2017
Last Update Date : 06/20/2022

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Directions to “ JOHN BOYLE MD” Practice Location

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