Individual
DR. MARK RICHARD BOLSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
600 MONTGOMERY MALL, NORTH WALES, PA 19454-3912
(215) 361-8282
(215) 362-0528
Mailing address
686 MISTY HOLLOW DR, MAPLE GLEN, PA 19002-2335
(215) 283-2565
(215) 362-0528
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OET008974
PA
Other
Enumeration date
08/13/2006
Last updated
11/01/2010
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