Dr Susan Elizabeth Boylan, MD | |
2280 Opitz Blvd, Suite 120, Woodbridge, VA 22191 | |
(703) 670-3349 | |
(703) 590-3199 |
Full Name | Dr Susan Elizabeth Boylan |
---|---|
Gender | Female |
Speciality | Radiology - Radiation Oncology |
Location | 2280 Opitz Blvd, Woodbridge, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316906068 | NPI | - | NPPES |
067883200 | Medicaid | DC | |
7261578 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | 0101040413 (Virginia) | Primary |
Entity Name | Radiation Oncology Associates Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013962836 PECOS PAC ID: 1254302359 Enrollment ID: O20060530000250 |
Mailing Address | Practice Location Address |
---|---|
Dr Susan Elizabeth Boylan, MD 9568 Kings Charter Dr Ste 202, Ashland, VA 23005-7955 Ph: (804) 266-8717 | Dr Susan Elizabeth Boylan, MD 2280 Opitz Blvd, Suite 120, Woodbridge, VA 22191 Ph: (703) 670-3349 |
Brendan L Waters, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 2300 Opitz Blvd, Dept Of Radiology, Woodbridge, VA 22191 Phone: 703-607-1561 | |
John D Grimme, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4001 Prince William Pkwy Ste 302, Woodbridge, VA 22192 Phone: 703-494-3309 Fax: 703-321-3300 | |
Palani Rathinasamy, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2300 Opitz Blvd, Woodbridge, VA 22191 Phone: 703-670-1561 Fax: 703-670-4961 | |
Robert A Olshaker, MD Radiology Medicare: Medicare Enrolled Practice Location: 2300 Opitz Blvd, Woodbridge, VA 22191 Phone: 703-670-1561 Fax: 703-670-4961 | |
Lawrence J Israel, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2300 Opitz Blvd, Woodbridge, VA 22191 Phone: 703-670-1561 Fax: 703-670-4961 | |
James Anthony Urso, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2300 Opitz Blved, Woodbridge, VA 23059 Phone: 703-523-1000 |