Active NPIIndividual provider

Robert J Boolbol, MD

Pain Medicine, Interventional Pain Medicine in Farmington, Connecticut

NPI Number1316935034
Practice location
11 South RD, Suite 250, Farmington, CT 06032
Fax
860-674-0024
Last updated
June 26, 2018

Robert J Boolbol is a Pain Medicine, Interventional Pain Medicine based in Farmington, CT. Robert J Boolbol practices in Farmington, CT and has the professional credentials of MD. The NPI Number for Robert J Boolbol is 1316935034 and holds a License No. 040205 (CT). The current practice location address for Robert J Boolbol is 11 South RD, Suite 250, Farmington, CT 06032 and can be reached out via phone at 860-674-0222 and via fax at 860-674-0024.

Provider Profile Details

NPI Number
1316935034
Provider Name
Robert J Boolbol
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
11 South RD, Suite 250, Farmington, CT 06032
Phone Number
860-674-0222
Fax Number
860-674-0024
Primary Taxonomy
Pain Medicine, Interventional Pain Medicine · 208VP0014X
Sole Proprietor
No
Provider Enumeration Date
October 6, 2005
Last Update Date
June 26, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
11 South RD
Suite 250
Farmington, CT 06032
Zip
06032
Phone Number
860-674-0222
Fax Number
860-674-0024
Farmington, CT 06032Get directions →

Provider Business Mailing Address Details

Address
11350 Mccormick RD
Executive Plaza 1, Suite 501
Hunt Valley, MD 21031
City
Hunt Valley
State
MD
Zip
21031
Phone Number
410-329-1071
Fax Number
410-329-1054

License Information

License Number (1)
040205
License State (1)
CT
Taxonomy (1)
Specialist · 174400000X
License Number (2)
040205
License State (2)
CT
Taxonomy (2)
Anesthesiology, Pain Medicine · 207LP2900X
License Number (3)
040205
License State (3)
CT
Taxonomy (3)
Pain Medicine, Interventional Pain Medicine · 208VP0014X · 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 Robert J Boolbol, MD?

The NPI number of Robert J Boolbol, MD is 1316935034. It was assigned on October 6, 2005 and is currently active in the NPPES registry.

What is the specialty of Robert J Boolbol, MD?

Robert J Boolbol, MD is registered under the primary taxonomy Pain Medicine, Interventional Pain Medicine (code 208VP0014X), licensed in CT under license number 040205.

Where does Robert J Boolbol, MD practice?

The practice location is 11 South RD, Suite 250, Farmington, CT 06032. The office can be reached at 860-674-0222 (phone) or 860-674-0024 (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 1316935034 directly on the NPPES registry website.

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