THOMAS J BOLAND MD
Surgery Yellow Pages
St Petersburg, Florida
Provider NPI: 1679531867
Provider Information:THOMAS J BOLAND MD
Practice Location:
6540 4TH ST N ST PETERSBURG, FL 33702 US
Tel: 727-525-0155 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 1223S0112X | Dental Providers Dentist Oral and Maxillofacial Surgery | FL | ME0050633 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
046922000 | FL | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin