Individual
DR. SAMUEL FRANK BOLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
127 LUBRANO DR, SUITE 301, ANNAPOLIS, MD 21401-7114
(410) 224-2010
Mailing address
PO BOX 15659, BELFAST, ME 04915-4051
(410) 224-2010
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
D0051567
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001
BCBS
—
01
—
10252068
AMERIGROUP
—
01
—
1479534
AETNA HMO
—
01
—
4612891
AETNA PPO
—
01
—
54794107
BCBS
—
01
—
54794109
BCBS
—
01
—
54794110
BCBS
—
01
—
547947108
BCBS
—
05
—
711502400
—
MD
Enumeration date
07/05/2005
Last updated
04/12/2017
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