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Individual

ROBERTO BOLLI

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
201 ABRAHAM FLEXNER WAY, 1001, LOUISVILLE, KY 40202-3841
(502) 587-4500
(502) 587-4146
Mailing address
501 E BROADWAY, 220, LOUISVILLE, KY 40202-1785
(502) 589-4856
(502) 589-5093

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
31035
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64310352
KY
Enumeration date
07/28/2005
Last updated
07/08/2007
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