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Contact Information

M M BOLDY, MD
1275 E LATHAM AVE STE A
HEMET, CA92543-4424
 Phone: 951-652-5555
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for M M BOLDY · (Male)

NPI Number 1013091677
Status Active
Credentials MD
Entity Individual
Enumeration date 10/24/2006
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A24200
  • CA Medicaid 00A242000
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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