Individual
JAN BOUBLIK
Active
Individual
JAN BOUBLIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
C139846
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
232132
MASSACHUSETTS MEDICAL BOA
—
01
—
256914
NY OFFICE OF THE PROFESSIONS
NY
Enumeration date
07/26/2007
Last updated
04/08/2024
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