Provider Demographics
NPI:1255694378
Name:BOYLAN, MARIA THERESA (DO)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:THERESA
Last Name:BOYLAN
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Gender:F
Credentials:DO
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Mailing Address - Street 1:52 HIGH ST
Mailing Address - Street 2:ELLIOT FAMIY MEDICINE AT NEW BOSTON
Mailing Address - City:NEW BOSTON
Mailing Address - State:NH
Mailing Address - Zip Code:03070-4027
Mailing Address - Country:US
Mailing Address - Phone:603-487-3429
Mailing Address - Fax:603-487-2103
Practice Address - Street 1:52 HIGH ST
Practice Address - Street 2:ELLIOT FAMIY MEDICINE AT NEW BOSTON
Practice Address - City:NEW BOSTON
Practice Address - State:NH
Practice Address - Zip Code:03070-4027
Practice Address - Country:US
Practice Address - Phone:603-487-3429
Practice Address - Fax:603-487-2103
Is Sole Proprietor?:No
Enumeration Date:2012-06-22
Last Update Date:2015-09-09
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Provider Licenses
StateLicense IDTaxonomies
NH17100207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine