Individual
ROB S BOUDEWIJN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
6 E CHESTNUT ST, AUGUSTA, ME 04330-5717
(207) 626-1303
Mailing address
6 E CHESTNUT ST, AUGUSTA, ME 04330-5717
(207) 626-1303
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA439
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154420000
—
ME
Enumeration date
03/31/2006
Last updated
07/02/2008
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