Bolton, Thomas A

Bolton, Thomas A is an individual health care provider with primary practice located at 2013 Ponce De Leon Ave , West Palm Beach FL 33407-6019. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Bolton, Thomas A can be contacted via phone (561) 659-0770.

Contact Information

Primary practice address
2013 Ponce De Leon Ave West Palm Beach FL 33407-6019
Phone: (561) 659-0770
Fax: (561) 802-3504
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X ME41418 Florida

Profile Details

NPI number 1871574665
LBN Legal business name Bolton, Thomas A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Feb 9th, 2010 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871574665 NPPES
Florida Other 07475 BLUE CROSS BLUE SHIELD
Florida MEDICAID 373307600 BLUE CROSS BLUE SHIELD

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