Provider Demographics
NPI:1013908219
Name:BOLAND, ARTHUR L JR (MD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:L
Last Name:BOLAND
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:175 CAMBRIDGE ST STE 400
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-2797
Mailing Address - Country:US
Mailing Address - Phone:617-643-2259
Mailing Address - Fax:617-726-3438
Practice Address - Street 1:175 CAMBRIDGE ST STE 400
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2797
Practice Address - Country:US
Practice Address - Phone:617-643-2259
Practice Address - Fax:617-726-3438
Is Sole Proprietor?:No
Enumeration Date:2005-11-04
Last Update Date:2013-01-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA31055207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAM07379OtherBCBS MA
MA2026864Medicaid
MA701139OtherTUFTS HEALTH PLAN
MA701139OtherTUFTS HEALTH PLAN
MAM07379OtherBCBS MA