JENNIFER M BOLAND

ST JOSEPHS MEDICAL PC

Dr JENNIFER M BOLAND is a female medical professional, specializing in Physician Assistant. She graduated in 2005 from State University Of New York At Stony Brook, School Of Medicine.

Contact

ST JOSEPHS MEDICAL PC

5100 W TAFT RD
LIVERPOOL
NY
130883807

Tel: 3154522828

JENNIFER M BOLAND Information

Npi 1538233150
Pac Id 3274706684
Professional Enrollment Id I20111031000762
Last Name BOLAND
First Name JENNIFER
Middle Name M
Suffix
Gender F
Credential
Medical School Name STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduation Year 2005
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name ST JOSEPHS MEDICAL PC
Group Practice Pac Id 4688855844
Number Of Group Practice Members 332
Line 1 Street Address 5100 W TAFT RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City LIVERPOOL
State NY
Zip Code 130883807
Phone Number 3154522828
Hospital Affiliation Ccn 1 330140
Hospital Affiliation Lbn 1 ST JOSEPH'S HOSPITAL HEALTH CENTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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