DR. Roger Joseph Boulay, M.D.

NPI #1164555983 in Pittsford, New York

Provider Information

NPI Number: 1164555983
Entity Type: Individual
Name: DR. Roger Joseph Boulay, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Mar 13, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 17 SPLIT ROCK RD
City: Pittsford
State: New York
ZIP Code: 14534-1813
Phone: (585) 586-2003

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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