Individual
DR. DAVID G BOLAND
Active
Individual
DR. DAVID G BOLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD069721L
PA
207RC0000X
Cardiovascular Disease Physician
MD069721L
PA
207RI0011X
Interventional Cardiology Physician
Primary
MD069721L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017813420001
—
PA
Enumeration date
09/09/2005
Last updated
12/15/2015
Update your record
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