Boley, Timothy

Boley, Timothy is an individual health care provider with primary practice located at 100 S 2Nd St Ste 4B , Harrisburg PA 17101-2546. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is his primary health care specialty. Boley, Timothy can be contacted via phone (717) 231-8472.

Contact Information

Primary practice address
100 S 2Nd St Ste 4B Harrisburg PA 17101-2546
Phone: (717) 231-8472
Fax: (717) 231-8490
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X MD426303 Pennsylvania
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X MD426303 Pennsylvania

Profile Details

NPI number 1871569210
LBN Legal business name Boley, Timothy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2006
Last updated Jan 18th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871569210 NPPES
Pennsylvania MEDICAID 101301146
Pennsylvania Other 000000169311
Pennsylvania Other 001740376
Pennsylvania Other 1086483
Pennsylvania Other 2407344000

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