Individual
DR. JACOB RYAN BOLLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
95 VERNON ST, WORCESTER, MA 01610-1988
(508) 755-2466
Mailing address
PO BOX 34666, BELFAST, ME 04915-0624
(508) 755-2466
(508) 755-6883
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PDF2545
MA
213ES0131X
Foot Surgery Podiatrist
2545
MA
Other
Enumeration date
05/13/2020
Last updated
09/27/2024
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