Individual
DR. THOMAS A BOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2013 PONCE DE LEON AVE, WEST PALM BEACH, FL 33407-6019
(561) 659-0770
(561) 802-3504
Mailing address
2013 PONCE DE LEON AVE, WEST PALM BEACH, FL 33407-6019
(561) 659-0770
(561) 802-3504
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME41418
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07475
BLUE CROSS BLUE SHIELD
FL
05
—
373307600
—
FL
Enumeration date
11/08/2005
Last updated
02/09/2010
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