Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 31055 | MA |
NPI | 1013908219 |
---|---|
Provider Name | Dr. Arthur L Boland JR. |
First Address | Boston, MA 02114-2797 |
Second Address | Boston, MA 02114-2797 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/11/2005 |
Last Update Date | 18/01/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2026864 | (05) | MA |
701139 | TUFTS HEALTH PLAN (01) | MA |
B75527 | (02) | |
M07379 | BCBS MA (01) | MA |