Boylan, Patricia Colleen

Boylan, Patricia Colleen is an individual health care provider with primary practice located at 530 Prospect Avenue , Little Silver NJ 07739-1444. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Boylan, Patricia Colleen can be contacted via phone (732) 842-1646.

Contact Information

Primary practice address
530 Prospect Avenue Little Silver NJ 07739-1444
Phone: (732) 842-1646
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 25MD00158900 New Jersey

Profile Details

NPI number 1174684955
LBN Legal business name Boylan, Patricia Colleen
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Jul 8th, 2007 - about 17 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 1174684955 NPPES
New Jersey MEDICAID 1702700

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