Active NPIIndividual provider

Dr. Michael J Boulanger, MD

Internal Medicine in Lewiston, Maine

NPI Number1376573774
Practice location
99 Campus Ave, Suite 201, Lewiston, ME 04240-6045
Fax
207-777-8155
Last updated
July 8, 2007

Michael J Boulanger is an Internal Medicine based in Lewiston, ME. Michael J Boulanger practices in Lewiston, ME and has the professional credentials of MD. The NPI Number for Michael J Boulanger is 1376573774 and holds a License No. 011487 (ME). The current practice location address for Michael J Boulanger is 99 Campus Ave, Suite 201, Lewiston, ME 04240-6045 and can be reached out via phone at 207-777-8810 and via fax at 207-777-8155.

Provider Profile Details

NPI Number
1376573774
Provider Name
Michael J Boulanger
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
99 Campus Ave, Suite 201, Lewiston, ME 04240-6045
Phone Number
207-777-8810
Fax Number
207-777-8155
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Provider Enumeration Date
July 3, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
99 Campus Ave
Suite 201
Lewiston, ME 04240-6045
State
Maine
Zip
04240-6045
Phone Number
207-777-8810
Fax Number
207-777-8155
Lewiston, ME 04240Get directions →

Provider Business Mailing Address Details

Address
Po Box 4140
Boston, MA 02241-4140
City
Boston
State
MA
Zip
02241-4140
Phone Number
207-777-4111
Fax Number
207-783-6660

License Information

License Number
011487
License State
ME
Taxonomy
Internal Medicine · 207R00000X · 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 Dr. Michael J Boulanger, MD?

The NPI number of Dr. Michael J Boulanger, MD is 1376573774. It was assigned on July 3, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Michael J Boulanger, MD?

Dr. Michael J Boulanger, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in ME under license number 011487.

Where does Dr. Michael J Boulanger, MD practice?

The practice location is 99 Campus Ave, Suite 201, Lewiston, ME 04240-6045. The office can be reached at 207-777-8810 (phone) or 207-777-8155 (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 1376573774 directly on the NPPES registry website.

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