Individual
DR. BRUCE J BOLTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2001 MEDICAL PARKWAY, ACUTE CARE PAVILION, ANNAPOLIS, MD 21401-3280
(443) 481-1000
(443) 481-6933
Mailing address
PO BOX 12622, BELFAST, ME 04915-4017
(443) 481-6469
(443) 481-6515
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
D34503
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
145724700
DEPT OF LABOR
—
05
—
479811200
—
MD
01
—
55880012
CAREFIRST (DC)
—
01
—
95823601
CAREFIRST MARYLAND
—
Enumeration date
11/14/2006
Last updated
12/08/2013
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