Organization
CRISPIN G. BOLISAY, MD APMC
Active
Parent organization
CRISPIN G. BOLISAY, MD APMC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CRISPIN G. BOLISAY, MD APMC
Authorized official
CRISPIN G. BOLISAY MD (PRESIDENT)
(985) 646-0360
Entity
Organization
Contact information
Practice address
1340 POYDRAS ST, SUITE 1850, NEW ORLEANS, LA 70112-1221
(504) 679-9901
(504) 679-9928
Mailing address
105 MEDICAL CENTER DR, SUITE 304, SLIDELL, LA 70461-5544
(985) 646-0360
(985) 646-0362
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
10/18/2007
Last updated
12/30/2008
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