Individual
DR. STEPHEN M BOLIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
72A CHARLES RIVER RD, WALTHAM, MA 02453-2402
(781) 647-0256
Mailing address
72A CHARLES RIVER RD, WALTHAM, MA 02453-2402
(781) 647-0256
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
128714
MA
Other
Enumeration date
04/07/2010
Last updated
04/07/2010
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