Mark Eugene Bolduc in Waterville - Surgery

Mark Eugene Bolduc - NPI 1043226129

Mark Eugene Bolduc is a Surgery in Waterville, Maine. Mark Eugene Bolduc practices all healthcare services and medical treatments related to Surgery. The NPI Number for Mark Eugene Bolduc is 1043226129. The last update date is 2014-02-21.

Mark Eugene Bolduc's current location address is 325 Kennedy Memorial Dr # B, Waterville, Maine. You can contact this provider via phone number 2078727171 and fax number 2078777268. The mailing address for Mark Eugene Bolduc is 325 Kennedy Memorial Dr # B, Waterville, Maine. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark Eugene Bolduc
Address 325 Kennedy Memorial Dr # B, Waterville, Maine
Phone Number 2078727171
Fax Number 2078777268
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1043226129
Provider Enumeration Date 2006-07-31
Last Updated Date 2014-02-21

Provider Mailing Address Detail

Address 325 Kennedy Memorial Dr # B
City Waterville
State Maine (ME)
Post Code 49014517
Phone Number 2078727171
Fax Number 2078777268

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No 11486
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
M101030 ME CIGNA
39918 ME ANTHEM BLUE CROSS

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FAQs about Mark Eugene Bolduc

What is the unique 10-digit identifier code issued to Mark Eugene Bolduc by the Centers for Medicare & Medicaid Services?

The Mark Eugene Bolduc has been assigned the NPI (National Provider Identifier) 1043226129 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Mark Eugene Bolduc is physically located?

The Mark Eugene Bolduc is situated at the following address: 325 Kennedy Memorial Dr # B, Waterville, ME 49014517.

What is Mark Eugene Bolduc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Mark Eugene Bolduc is Surgery, and the taxonomy code that categorizes this field of expertise is 208600000X.

On what date did Mark Eugene Bolduc receive its 1043226129 assignment from the Centers for Medicare & Medicaid Services?

The Mark Eugene Bolduc was assigned its 1043226129 on 2006-07-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Mark Eugene Bolduc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Mark Eugene Bolduc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-02-21.

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