Individual
DR. RONALD B BOERSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
310 STERLING DRIVE, ORCHARD PARK, NY 14127-1718
(716) 677-6800
(716) 712-0159
Mailing address
310 STERLING DRIVE, ORCHARD PARK, NY 14127-1718
(716) 677-6800
(716) 712-0159
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
104448
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00589886
—
NY
01
—
P00275983
CHS RAILROAD MEDICARE
NY
Enumeration date
06/15/2006
Last updated
02/02/2011
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