Doctor Name: | NANCY A BOLANIS |
NPI Number: | 1811975600 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 212726 |
Business Practice Address: | 2014 Washington St Newton Wellesley Radiology Associates Newton, MA - 02462 |
Business Phone Number: | 6172436600 |
Business Fax Number: | |
Mailing Address: | Po Box 417400, Newton Wellesley Radiology Associates BOSTON |
State: | MA |
Postal Code: | 022410001 |
Phone Number: | 8003604391 |
Fax Number: | 7707765702 |
NPI Enumeration Date: | 01/03/2006 |
NPI Last Update Date: | 09/27/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | 212726 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |