Individual
JAMES IRWIN BOLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
154 W 7TH ST, OSWEGO, NY 13126-2518
(315) 342-5488
(315) 342-0749
Mailing address
154 W 7TH ST, OSWEGO, NY 13126-2518
(315) 342-5488
(315) 342-0749
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
08/31/2006
Last updated
07/08/2007
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