Mark Eugene Bolduc
Surgeon Vascular Surgeon
325 Kennedy Memorial Dr # B
Waterville
, Maine 04901-4517
Mark Eugene Bolduc
Surgeon Vascular Surgeon
325 Kennedy Memorial Dr # B
Waterville
, Maine 04901-4517
(207) 877-7268
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About
Features
Specialties
- Surgeon
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Mark Eugene Bolduc
- 325 Kennedy Memorial Dr # B
- Waterville, ME
- Zip : 04901-4517
- Fax : (207) 877-7268
- Phone : (207) 872-7171
Second Address
- Mark Eugene Bolduc
- 325 Kennedy Memorial Dr # B
- Waterville, ME
- Zip : 04901-4517
- Fax : (207) 877-7268
- Phone : (207) 872-7171
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | 011486 | ME |
| N | 208600000X | Surgeon | 011486 | ME |
| Y | 2086S0129X | Vascular Surgeon | 011486 | ME |
National Provider Identifier
| NPI | 1043226129 |
|---|---|
| Provider Name | Mark Eugene Bolduc |
| First Address | Waterville, ME 04901-4517 |
| Second Address | Waterville, ME 04901-4517 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/07/2006 |
| Last Update Date | 21/02/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 039918 | ANTHEM BLUE CROSS (01) | ME |
| A58361 | (02) | ME |
| M101030 | CIGNA (01) | ME |
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.