MEDICARE: DR. ANDREW JOHN BOYLE M.D.

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
1	207RI0011X	Interventional Cardiology Physician	A104577	CA
2	207RC0000X	Cardiovascular Disease Physician	A104577	CA

General Provider Information

NPI Number	:	1578647822
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREW JOHN BOYLE M.D.

Provider Business Mailing Address
First Line	:	UCSF MEDICAL CENTER, DIVISION OF CARDIOLOGY
Second Line	:	505 PARNASSUS AVE, BOX 0124
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94143-0214
Country	:	US
Telephone Number	:	415-514-0827
Fax Number	:	415-353-9190

Provider Business Practice Location Address
First Line	:	UCSF MEDICAL CENTER, DIVISION OF CARDIOLOGY
Second Line	:	505 PARNASSUS AVE, BOX 0124
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94143-0214
Country	:	US
Telephone Number	:	415-514-0827
Fax Number	:	415-353-9190

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/24/2006
Last Update Date	:	09/15/2010

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