BRADLEY BOLDIZAR

CHARLESTON, SC
NPI1215258702
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: SC  LL32657)
Enumeration Date2010-06-18
Last Update Date2010-06-18
Business Address
-- BRADLEY BOLDIZAR
169 ASHLEY AVE ROOM 202 MAIN HOSPITAL, MSC333
CHARLESTON, SC 29425-8905
Phone number: 843-792-1414
Mailing Address
-- BRADLEY BOLDIZAR
169 ASHLEY AVE ROOM 202 MAIN HOSPITAL, MSC333
CHARLESTON, SC 29425-8905
Phone number:
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