Individual
MATTHEW BOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1430 TULANE AVE, SL-50, NEW ORLEANS, LA 70112-2632
(504) 988-7809
(504) 988-3971
Mailing address
1453 ATHIS ST, NEW ORLEANS, LA 70122-2027
(504) 495-5631
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
311900
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2391755
—
LA
Enumeration date
03/25/2015
Last updated
07/29/2019
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