Jason Peter Boulware
Emergency Physician
2353 Hughes Ave Apt 1a
Bronx
, New York 10458-8267
Jason Peter Boulware
Emergency Physician
2353 Hughes Ave Apt 1a
Bronx
, New York 10458-8267
(908) 663-2929
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About
Features
Specialties
- Emergency Physician
Languages spoken
- English
Location
First Address
- Jason Peter Boulware
- 515 Valley St Ste 203
- Maplewood, NJ
- Zip : 07040-4300
- Phone : (908) 663-2929
Second Address
- Jason Peter Boulware
- 2353 Hughes Ave Apt 1a
- Bronx, NY
- Zip : 10458-8267
- Phone : (646) 737-4364
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | 259532-1 | NY |
| N | 207P00000X | Emergency Physician | 286222 | MA |
National Provider Identifier
| NPI | 1013211168 |
|---|---|
| Provider Name | Jason Peter Boulware |
| First Address | Maplewood, NJ 07040-4300 |
| Second Address | Bronx, NY 10458-8267 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/01/2011 |
| Last Update Date | 04/06/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.