Individual
CHRISTOPHER CURRAN BOLUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
85 HERRICK ST, BEVERLY, MA 01915
(978) 922-3000
(978) 921-7011
Mailing address
85 HERRICK ST, BEVERLY, MA 01915-1790
(978) 922-3000
(978) 921-7011
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
258184
MA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
258184
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110099569A
—
MA
Enumeration date
06/27/2008
Last updated
05/25/2018
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