Individual
DR. GILES WALTER BOLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
75 FRANCIS ST, RADIOLOGY, BOSTON, MA 02115-6110
(617) 723-6273
Mailing address
75 FRANCIS ST, RADIOLOGY, BOSTON, MA 02115-6110
(617) 723-6273
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
77973
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3112306
—
MA
01
—
757733
TUFTS HEALTH PLAN
MA
01
—
J14132
BCBS MA
MA
Enumeration date
11/08/2005
Last updated
03/30/2017
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