Dr Bruce J Bolten, MD | |
2001 Medical Parkway, Acute Care Pavilion, Annapolis, MD 21401-3280 | |
(443) 481-1000 | |
(443) 481-6933 |
Full Name | Dr Bruce J Bolten |
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Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 2001 Medical Parkway, Annapolis, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801968383 | NPI | - | NPPES |
95823601 | Other | CAREFIRST MARYLAND | |
145724700 | Other | DEPT OF LABOR | |
479811200 | Medicaid | MD | |
55880012 | Other | CAREFIRST (DC) |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | D34503 (Maryland) | Primary |
Entity Name | Luminis Health Medical Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073580205 PECOS PAC ID: 2860447315 Enrollment ID: O20050317000146 |
Mailing Address | Practice Location Address |
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Dr Bruce J Bolten, MD Po Box 12622, Belfast, ME 04915-4017 Ph: (443) 481-6469 | Dr Bruce J Bolten, MD 2001 Medical Parkway, Acute Care Pavilion, Annapolis, MD 21401-3280 Ph: (443) 481-1000 |
Richard G. Welch, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2000 Medical Pkwy, Ste 304, Annapolis, MD 21401 Phone: 410-573-9530 Fax: 410-573-9569 | |
Monica B Jones, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2000 Medical Pkwy Ste 200, Annapolis, MD 21401 Phone: 443-481-3493 Fax: 443-481-6705 | |
Mrs. Himja V. Shah, CRNP-OB/GYN Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2000 Medical Pkwy Ste 310, Annapolis, MD 21401 Phone: 410-266-7755 Fax: 410-266-1141 | |
Dr. Joy'el B Ballard, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2000 Medical Pkwy, Ste. 304, Annapolis, MD 21401 Phone: 410-573-9530 Fax: 410-573-9568 | |
Dr. Christine Ajjan Laky, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 185 Harry S Truman Pkwy Ste 120, Annapolis, MD 21401 Phone: 410-224-4442 Fax: 410-224-8898 | |
Margaret Jessica Keith, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2003 Medical Pkwy, Annapolis, MD 21401 Phone: 410-571-9700 | |
Elizabeth T. Greeley, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 820 Bestgate Rd, Suites 2c & 2d, Annapolis, MD 21401 Phone: 410-224-4442 Fax: 410-224-8898 |