Individual
IOLIENE BOENAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3914 W STRATFORD RD, VIRGINIA BEACH, VA 23455-1664
(757) 460-5924
Mailing address
211 CHURCH ST, SARATOGA SPRINGS, NY 12866-1003
(757) 460-5924
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101223310
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5832373
—
VA
Enumeration date
06/23/2006
Last updated
06/06/2018
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