Active NPIIndividual provider

Dr. Thomas G Bolduc, MD

Pediatrics in Milton, Vermont

NPI Number1487628608
Practice location
11 Haydenberry Dr Unit 103, Milton, VT 05468-2200
Fax
—
Last updated
March 22, 2021

Thomas G Bolduc is a Pediatrics based in Milton, VT. Thomas G Bolduc practices in Milton, VT and has the professional credentials of MD. The NPI Number for Thomas G Bolduc is 1487628608 and holds a License No. MD00042058 (WA). The current practice location address for Thomas G Bolduc is 11 Haydenberry Dr Unit 103, Milton, VT 05468-2200 and can be reached out via phone at 802-893-1200.

Provider Profile Details

NPI Number
1487628608
Provider Name
Thomas G Bolduc
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
11 Haydenberry Dr Unit 103, Milton, VT 05468-2200
Phone Number
802-893-1200
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
No
Provider Enumeration Date
February 14, 2006
Last Update Date
March 22, 2021
Certification Date
March 22, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
11 Haydenberry Dr Unit 103
Milton, VT 05468-2200
City
Milton
State
Vermont
Zip
05468-2200
Phone Number
802-893-1200
Milton, VT 05468Get directions →

Provider Business Mailing Address Details

Address
66 Knight Ln Ste 10
Williston, VT 05495-9308
City
Williston
State
VT
Zip
05495-9308
Phone Number
802-872-4343
Fax Number
802-288-1144

License Information

License Number (1)
MD00042058
License State (1)
WA
Taxonomy (1)
Pediatrics · 208000000X
License Number (2)
0420012746
License State (2)
VT
Taxonomy (2)
Pediatrics · 208000000X · 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. Thomas G Bolduc, MD?

The NPI number of Dr. Thomas G Bolduc, MD is 1487628608. It was assigned on February 14, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Thomas G Bolduc, MD?

Dr. Thomas G Bolduc, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in WA under license number MD00042058.

Where does Dr. Thomas G Bolduc, MD practice?

The practice location is 11 Haydenberry Dr Unit 103, Milton, VT 05468-2200. The office can be reached at 802-893-1200 (phone).

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 1487628608 directly on the NPPES registry website.

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