person
Jose Bolanos, MD
Student in an Organized Health Care Education/Training Program in Providence, Rhode Island
NPI 1114644481

Jose Bolanos is a Student in an Organized Health Care Education/Training Program based in Providence, RI. Jose Bolanos practices in Providence, RI and has the professional credentials of MD. The NPI Number for Jose Bolanos is 1114644481 and holds a License No. (Rhode Island).

The current practice location address for Jose Bolanos is 2 Richmond Sq Ste 110, Providence, RI and can be reached out via phone at 401-414-1400 and via fax at 401-414-1401.

Location: 2 Richmond Sq Ste 110, Providence, RI, 02906-5135
person
Provider Profile Details
NPI Number
1114644481
Provider Name
Jose Bolanos
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2 Richmond Sq Ste 110, Providence, RI, 02906-5135
Phone Number
401-414-1400
Fax Number
401-414-1401
Provider Enumeration Date
10/26/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2 Richmond Sq Ste 110
City
State
Zip
02906-5135
Phone Number
401-414-1400
Fax Number
401-414-1401
person
Provider Business Mailing Address Details
Address
2 Richmond Sq Ste 110
City
State
Zip
02906-5135
Phone Number
401-414-1400
Fax Number
401-414-1401
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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