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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