Individual
DR. JULIE KUMATA BOEHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 HOPPIN ST STE 202, PROVIDENCE, RI 02903-4141
(401) 444-3611
Mailing address
1 HOPPIN ST STE 202, PROVIDENCE, RI 02903-4141
(401) 444-3611
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
0101264155
VA
207W00000X
Ophthalmology Physician
136111
CA
207W00000X
Ophthalmology Physician
Primary
20206
RI
Other
Enumeration date
06/13/2011
Last updated
01/07/2025
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