Provider Demographics
NPI:1679606354
Name:BOYLAN MEDICAL ASSOCIATES PLLC
Entity type:Organization
Organization Name:BOYLAN MEDICAL ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RANDALL
Authorized Official - Middle Name:T
Authorized Official - Last Name:CURNOW
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:919-781-9650
Mailing Address - Street 1:8300 HEALTH PARK
Mailing Address - Street 2:SUITE 309
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615
Mailing Address - Country:US
Mailing Address - Phone:919-781-9650
Mailing Address - Fax:919-848-8294
Practice Address - Street 1:8300 HEALTH PARK
Practice Address - Street 2:SUITE 309
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615
Practice Address - Country:US
Practice Address - Phone:919-781-9650
Practice Address - Fax:919-848-8294
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BOYLAN MEDICAL ASSOCIATES PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-03-13
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89012Y3Medicaid
NC89012Y3Medicaid