MR. Adam R Boll, PA

NPI #1174643159 in Glen Cove, New York

Provider Information

NPI Number: 1174643159
Entity Type: Individual
Name: MR. Adam R Boll, PA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Orthopaedic Surgery
Credential: PA
Enumeration Date: Mar 31, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 101 SAINT ANDREWS LN
City: Glen Cove
State: New York
ZIP Code: 11542-2254
Phone: (516) 674-7591

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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