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1952507261
JONATHAN A. BOLANOS
BALTIMORE, MD
NPI
1952507261
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RN0300X Internal Medicine, Nephrology
(Licence: MD D84522)
Enumeration Date
2007-06-23
Last Update Date
2019-07-23
Business Address
JONATHAN A. BOLANOS M.D.
22 S GREENE ST
BALTIMORE, MD 21201-1590
Phone number: 410-328-5720
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Mailing Address
JONATHAN A. BOLANOS M.D.
PO BOX 64442
BALTIMORE, MD 21264-4442
Phone number: 410-328-8040
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