Provider Demographics
NPI:1649237066
Name:BOYLE, KAREN ELIZABETH (MD)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:ELIZABETH
Last Name:BOYLE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:25 CROSSROADS DR
Mailing Address - Street 2:SUITE306
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-5421
Mailing Address - Country:US
Mailing Address - Phone:410-825-5454
Mailing Address - Fax:410-825-5811
Practice Address - Street 1:6535 N CHARLES ST
Practice Address - Street 2:SUITE 625
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-5826
Practice Address - Country:US
Practice Address - Phone:410-825-5454
Practice Address - Fax:410-825-5811
Is Sole Proprietor?:No
Enumeration Date:2006-04-28
Last Update Date:2014-04-23
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Provider Licenses
StateLicense IDTaxonomies
MDD60891208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD403644100Medicaid
MD403644100Medicaid
MD129993YZUMedicare PIN
MD731LMedicare PIN