Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 236053 | NY |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 236053 | NY |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 236053 | NY |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 236053 | NY |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 236053 | NY |
NPI | 1245221928 |
---|---|
Provider Name | Dr. James M Boler |
First Address | Schenectady, NY 12305-2014 |
Second Address | Schenectady, NY 12305-2014 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2005 |
Last Update Date | 31/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02682451 | (05) | NY |