Provider Demographics
NPI:1063758159
Name:BOYLE, AARON JASON (DC)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:JASON
Last Name:BOYLE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:279 ROUTE 46
Mailing Address - Street 2:
Mailing Address - City:ROCKAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:07866-3851
Mailing Address - Country:US
Mailing Address - Phone:973-784-4550
Mailing Address - Fax:973-784-4548
Practice Address - Street 1:279 ROUTE 46
Practice Address - Street 2:
Practice Address - City:ROCKAWAY
Practice Address - State:NJ
Practice Address - Zip Code:07866-3851
Practice Address - Country:US
Practice Address - Phone:973-784-4550
Practice Address - Fax:973-784-4548
Is Sole Proprietor?:No
Enumeration Date:2012-12-18
Last Update Date:2012-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00704800111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor