JOSE BOLANOS

PROVIDENCE, RI
NPI1114644481
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-10-26
Last Update Date2022-10-26
Business Address
JOSE BOLANOS MD
2 RICHMOND SQ STE 110
PROVIDENCE, RI 02906-5135
Phone number: 401-414-1400
Mailing Address
JOSE BOLANOS MD
2 RICHMOND SQ STE 110
PROVIDENCE, RI 02906-5135
Phone number: 401-414-1400
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