Organization Name: | DR. ROBERT J. BOLDUC JR. O.D. |
NPI Number: | 1346425741 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DENISE ZAHARES (BILLING) |
Mailing Address: | 311 Alfred St Biddeford |
State: | ME US |
Postal Code: | 040053127 |
Phone Number: | 2072846651 |
Fax Number: | 2072869579 |
NPI Enumeration Date: | 01/03/2008 |
NPI Last Update Date: | 02/01/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 660T |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |