Individual
PAUL DAVID BOEREM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
622 WEST 198TH STREET, NEW YORK, NY 10032
(212) 305-4141
Mailing address
183 PINEHURST AVE APT 44, NEW YORK, NY 10033-1824
(917) 921-6552
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
430327
NY
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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