Active NPIIndividual provider

Peter M Bolo, MD

Psychiatry & Neurology, Psychiatry in Summit, New Jersey

NPI Number1649284639
Practice location
99 Beauvoir Avenue, Summit, NJ 07902-3533
Fax
908-522-5269
Last updated
July 8, 2007

Peter M Bolo is a Psychiatry & Neurology, Psychiatry based in Summit, NJ. Peter M Bolo practices in Summit, NJ and has the professional credentials of MD. The NPI Number for Peter M Bolo is 1649284639 and holds a License No. MA53194 (NJ). The current practice location address for Peter M Bolo is 99 Beauvoir Avenue, Summit, NJ 07902-3533 and can be reached out via phone at 908-522-2226 and via fax at 908-522-5269.

Provider Profile Details

NPI Number
1649284639
Provider Name
Peter M Bolo
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
99 Beauvoir Avenue, Summit, NJ 07902-3533
Phone Number
908-522-2226
Fax Number
908-522-5269
Primary Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X
Sole Proprietor
No
Provider Enumeration Date
July 28, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
99 Beauvoir Avenue
Summit, NJ 07902-3533
City
Summit
Zip
07902-3533
Phone Number
908-522-2226
Fax Number
908-522-5269
Summit, NJ 07902Get directions →

Provider Business Mailing Address Details

Address
99 Beauvoir Avenue
Summit, NJ 07902-3533
City
Summit
State
NJ
Zip
07902-3533
Phone Number
908-522-2226
Fax Number
908-522-5269

License Information

License Number
MA53194
License State
NJ
Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Peter M Bolo, MD?

The NPI number of Peter M Bolo, MD is 1649284639. It was assigned on July 28, 2006 and is currently active in the NPPES registry.

What is the specialty of Peter M Bolo, MD?

Peter M Bolo, MD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in NJ under license number MA53194.

Where does Peter M Bolo, MD practice?

The practice location is 99 Beauvoir Avenue, Summit, NJ 07902-3533. The office can be reached at 908-522-2226 (phone) or 908-522-5269 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1649284639 directly on the NPPES registry website.

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