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Organization

MARK S. BOLAND D.O., F.A.C.O.S.,P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK S BOLAND (PLASTIC AND RECONSTRUCTIVE SURGEON)
(717) 541-8898
Entity
Organization

Contact information

Practice address
840 SIR THOMAS COURT, HARRISBURG, PA 17109-4839
(717) 541-8898
(717) 541-0641
Mailing address
840 SIR THOMAS COURT, HARRISBURG, PA 17109-4839
(717) 541-8898
(717) 541-0641

Taxonomy

Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
OS-005543-L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1793471
HIGHMARK GROUP NUMBER
PA
Enumeration date
10/03/2006
Last updated
04/08/2014
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