MILTON BIZZELLE BOLES

PROVIDENCE, RI
NPI1407807902
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: MA  77595)
Enumeration Date2006-05-12
Last Update Date2007-07-12
Business Address
DR. MILTON BIZZELLE BOLES MD,DMD
830 CHALKSTONE AVE. VA MEDICAL CENTER
PROVIDENCE, RI 02908-4734
Phone number: 401-457-3056
Mailing Address
DR. MILTON BIZZELLE BOLES MD,DMD
19 REED ST
LEXINGTON, MA 02421-4309
Phone number: 781-863-2033