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Search › Pennsylvania › 320900000X

Charaun Bolton

NPI 1851197248 · on the registry since 2025 · sole proprietor

Practice

Address
5131 Diamond St
Philadelphia, PA 19131
Phone
(267) 997-2490

Additional practice sites

  • 3136 French St, Philadelphia, PA

Registry record

Primary taxonomy
320900000X
320900000X
Also registered as
2278P3800X
253Z00000X
322D00000X
323P00000X
376J00000X
385H00000X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-06-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania