Individual
DR. JOHN S. BOLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD.013758
LA
2086X0206X
Surgical Oncology Physician
Primary
MD.013758
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1321877
—
LA
Enumeration date
05/02/2006
Last updated
09/12/2019
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