Individual
JEFFREY P BOLDUAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1808 CHARLTON CT, GOSHEN, IN 46526-6463
(574) 533-8420
(574) 533-3909
Mailing address
1808 CHARLTON CT, GOSHEN, IN 46526-6463
(574) 533-8420
(574) 533-3909
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
01030767
IN
Other
Enumeration date
11/06/2006
Last updated
12/23/2024
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