Provider Demographics
NPI:1164487971
Name:JAMES J. BOYLAN
Entity Type:Organization
Organization Name:JAMES J. BOYLAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:J
Authorized Official - Last Name:BOYLAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-868-9770
Mailing Address - Street 1:2597 SCHOENERSVILLE RD STE 201
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-7331
Mailing Address - Country:US
Mailing Address - Phone:610-868-9770
Mailing Address - Fax:610-868-9519
Practice Address - Street 1:2597 SCHOENERSVILLE RD STE 201
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-7331
Practice Address - Country:US
Practice Address - Phone:610-868-9770
Practice Address - Fax:610-868-9519
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-18
Last Update Date:2017-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD020689E207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAC27829Medicare UPIN
PA099550Medicare PIN