Jeffrey P. Bolduan, M.D. Inc in Goshen - Urology
Jeffrey P. Bolduan, M.D. Inc - NPI 1538320577
Jeffrey P. Bolduan, M.D. Inc is a Urology in Goshen, Indiana. Jeffrey P. Bolduan, M.D. Inc practices all healthcare services and medical treatments related to Urology. The NPI Number for Jeffrey P. Bolduan, M.D. Inc is 1538320577. The last update date is 2010-03-11.
Jeffrey P. Bolduan, M.D. Inc's current location address is 1615 Winsted Dr Ste 4, Goshen, Indiana. You can contact this provider via phone number 5745338420 and fax number 5745333909. The mailing address for Jeffrey P. Bolduan, M.D. Inc is 1615 Winsted Dr Ste 4, Goshen, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jeffrey P. Bolduan, M.D. Inc |
|---|---|
| Address | 1615 Winsted Dr Ste 4, Goshen, Indiana |
| Phone Number | 5745338420 |
| Fax Number | 5745333909 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Bolduan P Jeffrey |
| Credentials | MD |
| Telephone Number | 5745338420 |
NPI Number Detail
| NPI Number | 1538320577 |
|---|---|
| Provider Enumeration Date | 2008-06-23 |
| Last Updated Date | 2010-03-11 |
Provider Mailing Address Detail
| Address | 1615 Winsted Dr Ste 4 |
|---|---|
| City | Goshen |
| State | Indiana (IN) |
| Post Code | 465264673 |
| Phone Number | 5745338420 |
| Fax Number | 5745333909 |
Provider's Primary Taxonomy Detail
| Speciality | Urology |
|---|---|
| Taxonomy | 208800000X |
| Licence No | 1030767 |
|
Definition: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100112510A | IN | -- | |
| 1831278027 | IN | INDIVIDUAL NPO |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jeffrey P. Bolduan, M.D. Inc by the Centers for Medicare & Medicaid Services?
The Jeffrey P. Bolduan, M.D. Inc has been issued the NPI (National Provider Identifier) 1538320577, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Jeffrey P. Bolduan, M.D. Inc is physically located?
The Jeffrey P. Bolduan, M.D. Inc is situated at the following address: 1615 Winsted Dr Ste 4, Goshen, IN 465264673.
What is Jeffrey P. Bolduan, M.D. Inc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jeffrey P. Bolduan, M.D. Inc is Urology, and the corresponding taxonomy classification code for this specialized field is 208800000X.
On what date did the Jeffrey P. Bolduan, M.D. Inc receive its 1538320577 assignment from the Centers for Medicare & Medicaid Services?
The Jeffrey P. Bolduan, M.D. Inc was assigned its 1538320577 by the Centers for Medicare & Medicaid Services on 2008-06-23.
When was the information related to Jeffrey P. Bolduan, M.D. Inc most recently updated or refreshed?
The details pertaining to the Jeffrey P. Bolduan, M.D. Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-03-11.
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