Bolanis, Nancy A
Bolanis, Nancy A is an individual health care provider with primary practice located at 2014 Washington St Newton Wellesley Radiology Associates, Newton MA 02462. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Bolanis, Nancy A can be contacted via phone (617) 243-6600.Contact Information
Primary practice address
2014 Washington St Newton Wellesley Radiology Associates
Newton MA 02462
Phone: (617) 243-6600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | 212726 | Massachusetts |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 212726 | Massachusetts |
Profile Details
| NPI number | 1811975600 |
|---|---|
| LBN Legal business name | Bolanis, Nancy A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 3rd, 2006 |
| Last updated | Sep 27th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811975600 | NPPES |
| Massachusetts | MEDICAID | 0199648 | |
| Massachusetts | Other | J25265 | |
| Massachusetts | Other | 7707370 |
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