MARK EUGENE BOLDUC M.D. NPI 1043226129

NPI Information

Mark Eugene Bolduc, M.D. is a vascular surgery surgery in Waterville, ME with 44 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Mark Eugene Bolduc, M.D. NPI is 1043226129. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1980

The provider's business location address is:

325 KENNEDY MEMORIAL DR # B
WATERVILLE, ME
ZIP 04901-517
Phone: (207) 872-7171
Fax: (207) 877-7268

The NPI 1043226129 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/31/2006 and was last updated on 2/21/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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