NPI 1518604636

Sandra Marcela Boyle, PA

Practitioner Physician Assistant Bloomfield, NJ

Practice location

Address: 382 W Passaic Ave, Bloomfield, NJ 07003-5554
Phone: (973) 338-1900

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 25MP00700300 (NJ)

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Registry record

NPI: 1518604636
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 May 2022
Record last updated: 24 May 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.