NPI 1538320577

Jeffrey P. Bolduan, M.D. INC

Organisation Urology Physician Goshen, IN

Practice location

Address: 1615 Winsted Dr STE 4, Goshen, IN 46526-4673
Phone: (574) 533-8420
Fax: (574) 533-3909

Authorised official

Name: Jeffrey P Bolduan
Title: President
Phone: (574) 533-8420

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 01030767 (IN)

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Registry record

NPI: 1538320577
Entity type: Organization
NPI issued: 23 Jun 2008
Record last updated: 11 Mar 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.