Active NPIIndividual provider

Mark E Bolduc, MD

Healthcare Provider in Waterville, Maine

NPI Number1043226129
Practice location
325 Kennedy Memorial Dr # B, Waterville, ME 04901-4517
Fax
207-877-7268
Last updated
February 21, 2014

Mark Eugene Bolduc is a Healthcare Provider based in Waterville, ME. Mark Eugene Bolduc practices in Waterville, ME and has the professional credentials of MD. The NPI Number for Mark Eugene Bolduc is 1043226129 and holds a License No. 011486 (ME). The current practice location address for Mark Eugene Bolduc is 325 Kennedy Memorial Dr # B, Waterville, ME 04901-4517 and can be reached out via phone at 207-872-7171 and via fax at 207-877-7268.

Provider Profile Details

NPI Number
1043226129
Provider Name
Mark Eugene Bolduc
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
325 Kennedy Memorial Dr # B, Waterville, ME 04901-4517
Phone Number
207-872-7171
Fax Number
207-877-7268
Primary Taxonomy
Healthcare Provider · 2086S0129X
Sole Proprietor
No
Provider Enumeration Date
July 31, 2006
Last Update Date
February 21, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
325 Kennedy Memorial Dr # B
Waterville, ME 04901-4517
State
Maine
Zip
04901-4517
Phone Number
207-872-7171
Fax Number
207-877-7268
Waterville, ME 04901Get directions →

Provider Business Mailing Address Details

Address
325 Kennedy Memorial Dr # B
Waterville, ME 04901-4517
City
Waterville
State
ME
Zip
04901-4517
Phone Number
207-872-7171
Fax Number
207-877-7268

License Information

License Number (1)
011486
License State (1)
ME
Taxonomy (1)
Surgery · 208600000X
License Number (2)
011486
License State (2)
ME
Taxonomy (2)
· 2086S0129X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mark E Bolduc, MD?

The NPI number of Mark E Bolduc, MD is 1043226129. It was assigned on July 31, 2006 and is currently active in the NPPES registry.

What is the specialty of Mark E Bolduc, MD?

Mark E Bolduc, MD is registered under the primary taxonomy Healthcare Provider (code 2086S0129X), licensed in ME under license number 011486.

Where does Mark E Bolduc, MD practice?

The practice location is 325 Kennedy Memorial Dr # B, Waterville, ME 04901-4517. The office can be reached at 207-872-7171 (phone) or 207-877-7268 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043226129 directly on the NPPES registry website.

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