Boldrey, Edwin E

Boldrey, Edwin E is an individual health care provider with primary practice located at 2485 Hospital Dr Orchard Pavilion Ste 200, Mountain View CA 94040-4101. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Boldrey, Edwin E can be contacted via phone (650) 988-7480.

Contact Information

Primary practice address
2485 Hospital Dr Orchard Pavilion Ste 200 Mountain View CA 94040-4101
Phone: (650) 988-7480
Fax: (650) 988-7482
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X G17069 California

Profile Details

NPI number 1801880745
LBN Legal business name Boldrey, Edwin E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Mar 13th, 2013 - about 13 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 1801880745 NPPES
California Other 180014997 MEDICARE RAILROAD
California MEDICAID 00G170692 MEDICARE RAILROAD

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