Bolduc, Mark Eugene

Bolduc, Mark Eugene is an individual health care provider with primary practice located at 325 Kennedy Memorial Dr # B , Waterville ME 04901-4517. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Bolduc, Mark Eugene can be contacted via phone (207) 872-7171.

Contact Information

Primary practice address
325 Kennedy Memorial Dr # B Waterville ME 04901-4517
Phone: (207) 872-7171
Fax: (207) 877-7268
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 011486 Maine
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 011486 Maine

Profile Details

NPI number 1043226129
LBN Legal business name Bolduc, Mark Eugene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Feb 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043226129 NPPES
Maine Other M101030 CIGNA
Maine Other 039918 CIGNA

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