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Individual
DR. TIMOTHY BOLEY
Active
Individual
DR. TIMOTHY BOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
MD426303
PA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
MD426303
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000169311
GATEWAY
PA
01
—
001740376
HIGHMARK
PA
05
—
101301146
—
PA
01
—
1086483
AETNA-HMO
PA
01
—
2407344000
INDEPENDENCE BLUE CROSS
PA
Enumeration date
02/26/2006
Last updated
01/18/2021
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