Individual
BRIAN BOULMAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121
(504) 842-4000
Mailing address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
202052
LA
207RH0003X
Hematology & Oncology Physician
Primary
MD.202052
LA
207RH0003X
Hematology & Oncology Physician
TRN5631
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02953097
—
MS
05
—
1136611
—
LA
Enumeration date
10/23/2006
Last updated
07/20/2010
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