Individual
CHARLES BOLAND
Active
Individual
CHARLES BOLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
103451
GA
207L00000X
Anesthesiology Physician
125-065680
IL
207L00000X
Anesthesiology Physician
S4602
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
036148562
IL
Other
Enumeration date
05/07/2014
Last updated
02/03/2026
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