Bolduc, Thomas G

Bolduc, Thomas G is an individual health care provider with primary practice located at 11 Haydenberry Dr Unit 103 , Milton VT 05468-2200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Bolduc, Thomas G can be contacted via phone (802) 893-1200.

Contact Information

Primary practice address
11 Haydenberry Dr Unit 103 Milton VT 05468-2200
Phone: (802) 893-1200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD00042058 Washington
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0420012746 Vermont

Profile Details

NPI number 1487628608
LBN Legal business name Bolduc, Thomas G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Mar 22nd, 2021 - about 5 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 1487628608 NPPES
Washington MEDICAID 8364523
Washington Other 0420012746
Washington Other 172210
Washington MEDICAID 299829
Washington Other P00018622
Washington MEDICAID 1022471

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