Individual
ROBERT J BOOLBOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11 SOUTH RD, SUITE 250, FARMINGTON, CT 06032
(860) 674-0222
(860) 674-0024
Mailing address
11350 MCCORMICK RD, EXECUTIVE PLAZA 1, SUITE 501, HUNT VALLEY, MD 21031
(410) 329-1071
(410) 329-1054
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
040205
CT
207LP2900X
Pain Medicine (Anesthesiology) Physician
040205
CT
208VP0014X
Interventional Pain Medicine Physician
Primary
040205
CT
Other
Enumeration date
10/06/2005
Last updated
06/26/2018
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