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Jeffrey P. Bolduan, M.d. Inc
Urology Physician in Goshen, Indiana
NPI 1538320577

Jeffrey P. Bolduan, M.d. Inc is a Urology Physician based in Goshen, IN. Jeffrey P. Bolduan, M.d. Inc practices in Goshen, IN. The NPI Number for Jeffrey P. Bolduan, M.d. Inc is 1538320577 and holds a License No. 01030767 (Indiana).

The current practice location address for Jeffrey P. Bolduan, M.d. Inc is 1615 Winsted Dr Ste 4, Goshen, IN and can be reached out via phone at 574-533-8420 and via fax at 574-533-3909.

Location: 1615 Winsted Dr Ste 4, Goshen, IN, 46526-4673
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1538320577
Provider Name
Jeffrey P. Bolduan, M.d. Inc
Credential
Provider Entity Type
Organization
Address
1615 Winsted Dr Ste 4, Goshen, IN, 46526-4673
Phone Number
574-533-8420
Fax Number
574-533-3909
Provider Enumeration Date
06/23/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100112510A 05 IN
1831278027 01 IN INDIVIDUAL NPO
institution
Provider Business Practice Location Address Details
Address
1615 Winsted Dr Ste 4
City
Goshen
State
Indiana
Zip
46526-4673
Phone Number
574-533-8420
Fax Number
574-533-3909
person
Provider Business Mailing Address Details
Address
1615 Winsted Dr Ste 4
City
Goshen
State
Indiana
Zip
46526-4673
Phone Number
574-533-8420
Fax Number
574-533-3909
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
01030767 (Indiana)
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 acquired conditions of the urinary and reproductive systems and their contiguous structures.
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