Provider Demographics
NPI:1407908593
Name:DOYLE, RICHARD BRIAN (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:BRIAN
Last Name:DOYLE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:110 FRANCIS ST
Mailing Address - Street 2:SUITE 8E
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-5501
Mailing Address - Country:US
Mailing Address - Phone:617-632-8623
Mailing Address - Fax:617-632-9199
Practice Address - Street 1:110 FRANCIS ST
Practice Address - Street 2:SUITE 8E
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-5501
Practice Address - Country:US
Practice Address - Phone:617-632-8623
Practice Address - Fax:617-632-9199
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2011-04-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA214471207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
D02813Medicare UPIN