Individual
MARK EUGENE BOLDUC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
325 KENNEDY MEMORIAL DR # B, WATERVILLE, ME 04901-4517
(207) 872-7171
(207) 877-7268
Mailing address
325 KENNEDY MEMORIAL DR # B, WATERVILLE, ME 04901-4517
(207) 872-7171
(207) 877-7268
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
011486
ME
2086S0129X
Vascular Surgery Physician
Primary
011486
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
039918
ANTHEM BLUE CROSS
ME
01
—
M101030
CIGNA
ME
Enumeration date
07/31/2006
Last updated
02/21/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us