Individual
DR. CARL J. BOLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
80 SEYMOUR STREET, HARTFORD HOSPITAL NEUROLOGY DEPT, HARTFORD, CT 06102
(860) 545-3621
Mailing address
PO BOX 40,000 DEPT 634, HARTFORD HOSPITAL PROFESSIONAL SERVICES, HARTFORD, CT 06151-0634
(860) 545-7602
Taxonomy
Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
Primary
032883
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001328831
—
CT
Enumeration date
06/30/2006
Last updated
09/11/2024
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