Organization
JAMES I BOLES, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES I BOLES M.D. (PHYSICIAN)
(315) 342-5488
Entity
Organization
Contact information
Practice address
154 W 7TH ST, OSWEGO, NY 13126-2518
(315) 342-5488
Mailing address
154 W 7TH ST, OSWEGO, NY 13126-2518
(315) 342-5488
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
147559
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00647801
—
NY
Enumeration date
05/08/2007
Last updated
08/22/2020
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