Individual
CHELSEA BOLTJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
810 SEVENTH AVE FL 21, NEW YORK, NY 10019-5923
(212) 290-8100
Mailing address
810 SEVENTH AVE FL 21, NEW YORK, NY 10019-5923
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
023436-1
NY
363A00000X
Physician Assistant
001007021
NC
Other
Enumeration date
01/30/2017
Last updated
03/05/2021
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