NPI 1669092714

William Anthony Bolesta, BOC

Practitioner Orthotist Reisterstown, MD

Practice location

Address: 11 Bondi Way, Reisterstown, MD 21136-5102
Phone: (443) 250-9021

Registered specialties

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X

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Registry record

NPI: 1669092714
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Apr 2020
Record last updated: 19 Apr 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.