Individual
MARCY B BOLSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 FRUIT STREET, BULFINCH165, BOSTON, MA 02114
(617) 726-2870
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
15427
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154273
—
SC
Enumeration date
08/29/2006
Last updated
06/21/2021
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