Brendan R Bolduc, PT, DPT, CSCS
Physical Therapist in Montvale, New Jersey
1811664899- Practice location
- 15 S Kinderkamack RD, Montvale, NJ 07645-2112
- Phone
- 201-573-4969
- Fax
- —
- Last updated
- August 26, 2021
Brendan Raymond Bolduc is a Physical Therapist based in Montvale, NJ. Brendan Raymond Bolduc practices in Montvale, NJ and has the professional credentials of PT, DPT, CSCS. The NPI Number for Brendan Raymond Bolduc is 1811664899 and holds a License No. 40QA02024200 (NJ). The current practice location address for Brendan Raymond Bolduc is 15 S Kinderkamack RD, Montvale, NJ 07645-2112 and can be reached out via phone at 201-573-4969.
Provider Profile Details
- NPI Number
- 1811664899
- Provider Name
- Brendan Raymond Bolduc
- Credential
- PT, DPT, CSCS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 15 S Kinderkamack RD, Montvale, NJ 07645-2112
- Phone Number
- 201-573-4969
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 26, 2021
- Last Update Date
- August 26, 2021
- Certification Date
- August 26, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 15 S Kinderkamack RD
Montvale, NJ 07645-2112 - City
- Montvale
- State
- New Jersey
- Zip
- 07645-2112
- Phone Number
- 201-573-4969
Provider Business Mailing Address Details
- Address
- 605 Main St
Hackensack, NJ 07601-5914 - City
- Hackensack
- State
- NJ
- Zip
- 07601-5914
- Phone Number
- 201-488-0488
License Information
- License Number
- 40QA02024200
- License State
- NJ
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Brendan R Bolduc, PT, DPT, CSCS?
The NPI number of Brendan R Bolduc, PT, DPT, CSCS is 1811664899. It was assigned on August 26, 2021 and is currently active in the NPPES registry.
What is the specialty of Brendan R Bolduc, PT, DPT, CSCS?
Brendan R Bolduc, PT, DPT, CSCS is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA02024200.
Where does Brendan R Bolduc, PT, DPT, CSCS practice?
The practice location is 15 S Kinderkamack RD, Montvale, NJ 07645-2112. The office can be reached at 201-573-4969 (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 1811664899 directly on the NPPES registry website.