| Joseph A Boulay Jr Md Pa | |
|
6198 52nd St S St Petersburg FL 33715-2405 | |
| (727) 410-6399 | |
| Not Available |
| Full Name | Joseph A Boulay Jr Md Pa |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 6198 52nd St S, St Petersburg, Florida |
| Authorized Official Name and Position | Joseph Boulay (OWNER) |
| Authorized Official Contact | 7274106399 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph A Boulay Jr Md Pa 6198 52nd St S St Petersburg FL 33715-2405 Ph: (727) 410-6399 | Joseph A Boulay Jr Md Pa 6198 52nd St S St Petersburg FL 33715-2405 Ph: (727) 410-6399 |
| NPI Number | 1295058550 |
|---|---|
| Provider Enumeration Date | 03/01/2010 |
| Last Update Date | 11/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295058550 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | ME40296 (Florida) | Primary |
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