Individual
DR. CHARLES DANIEL BOLAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
ROOM 4 5140 MSC 1475 BLDG 10, HEMATOLOGY BRANCH, NHLBI, NIH, BETHESDA, MD 20892-1475
(301) 451-7099
Mailing address
9312 BELLS MILL RD, POTOMAC, MD 20854-2217
(301) 256-8668
(301) 402-1360
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
G60001
CA
Other
Enumeration date
06/10/2006
Last updated
02/26/2013
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