| Bol Medical | |
|
900 Magazine St New Orleans LA 70130-3814 | |
| (504) 309-0534 | |
| Not Available |
| Full Name | Bol Medical |
|---|---|
| Speciality | Clinic/center |
| Location | 900 Magazine St, New Orleans, Louisiana |
| Authorized Official Name and Position | Ajsa Nikolic (OWNER) |
| Authorized Official Contact | 5048374208 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bol Medical 900 Magazine St New Orleans LA 70130-3814 Ph: (504) 309-0534 | Bol Medical 900 Magazine St New Orleans LA 70130-3814 Ph: (504) 309-0534 |
| NPI Number | 1679624530 |
|---|---|
| Provider Enumeration Date | 01/16/2007 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679624530 | NPI | - | NPPES |
| 1140406 | Medicaid | LA | |
| 5CQ53 | Other | LA | MEDICARE GROUP NO |
| LA025945 | Other | LA | LICENCE |
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