Organization
SAMUEL F. BOLES MD PC
Active
Other names
Anne Arundel Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL F BOLES MD (PHYSICIAN/OWNER)
(410) 224-2010
Entity
Organization
Contact information
Practice address
127 LUBRANO DR, SUITE 301, ANNAPOLIS, MD 21401-7114
(410) 224-2010
(410) 224-3044
Mailing address
PO BOX 62084, BALTIMORE, MD 21264-2084
(443) 481-6524
(443) 481-6515
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
226611300
—
MD
Enumeration date
12/13/2011
Last updated
11/01/2012
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