Boland, Genevieve M.
Boland, Genevieve M. is an individual health care provider with primary practice located at 55 Fruit St Yawkey 7B, Boston MA 02114-2621. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgical Oncology is her primary health care specialty. Boland, Genevieve M. can be contacted via phone (617) 726-8290.Contact Information
Primary practice address
55 Fruit St Yawkey 7B
Boston MA 02114-2621
Phone: (617) 726-8290
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | L-228277 | Massachusetts |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | N9679 | Texas |
| Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | 259762 | Massachusetts |
Profile Details
| NPI number | 1699801019 |
|---|---|
| LBN Legal business name | Boland, Genevieve M. |
| Credentials | MD, PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2007 |
| Last updated | Jun 26th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699801019 | NPPES |
| Texas | MEDICAID | 285217001 | |
| Texas | Other | 8CW228 |
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