Individual
DR. BRIAN JOHN BOLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1625 N GEORGE MASON DRIVE, SUITE 434, ARLINGTON, VA 22205
(703) 522-1860
(703) 522-7293
Mailing address
1625 N GEORGE MASON DRIVE, SUITE 434, ARLINGTON, VA 22205
(703) 522-1860
(703) 522-7293
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101028005
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5851106
—
VA
Enumeration date
08/14/2006
Last updated
10/19/2007
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