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Jeffrey P Bolduan, MD
Urology Physician in Goshen, Indiana
NPI 1831278027

Jeffrey P Bolduan is a Urology Physician based in Goshen, IN. Jeffrey P Bolduan practices in Goshen, IN and has the professional credentials of MD. The NPI Number for Jeffrey P Bolduan is 1831278027 and holds a License No. 01030767 (Indiana).

The current practice location address for Jeffrey P Bolduan 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
person
Provider Profile Details
NPI Number
1831278027
Provider Name
Jeffrey P Bolduan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1615 Winsted Dr Ste 4, Goshen, IN, 46526-4673
Phone Number
574-533-8420
Fax Number
574-533-3909
Provider Enumeration Date
11/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100112510A 05 IN
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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