Provider Demographics
NPI:1235315581
Name:BOYNTON, BRUCE RYLAND (MD)
Entity Type:Individual
Prefix:DR
First Name:BRUCE
Middle Name:RYLAND
Last Name:BOYNTON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:10418 HAMPTON RD
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX STATION
Mailing Address - State:VA
Mailing Address - Zip Code:22039-2757
Mailing Address - Country:US
Mailing Address - Phone:703-543-6554
Mailing Address - Fax:
Practice Address - Street 1:4209 NEWGATE AVE
Practice Address - Street 2:CANTON PIER 11
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224-6416
Practice Address - Country:US
Practice Address - Phone:410-631-7465
Practice Address - Fax:410-631-7467
Is Sole Proprietor?:No
Enumeration Date:2008-01-17
Last Update Date:2008-01-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KY195802080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine