Individual
DR. CHRISTINA MARIE BOLANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9781 BLUE LARKSPUR LN STE 100, MONTEREY, CA 93940-6509
(831) 333-9008
(831) 333-9010
Mailing address
525 SOUTH DR STE 115, MOUNTAIN VIEW, CA 94040-4211
(408) 369-5600
(408) 558-7949
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A133678
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0412675
BCBSM
MI
05
—
2832547
—
MI
Enumeration date
07/12/2007
Last updated
04/06/2018
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