Brian Bollo, MD

NPI #1992943153 in Ithaca, New York

Provider Information

NPI Number: 1992943153
Entity Type: Individual
Name: Brian Bollo, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Surgery
Credential: MD
Enumeration Date: Jan 27, 2009
Last Updated: Feb 16, 2012

Practice Location

Address: 1301 TRUMANSBURG RD
Address 2: SUITE E
City: Ithaca
State: New York
ZIP Code: 14850-1397
Phone: (607) 273-3161

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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