Renee Boulware, MD

NPI #1982023222 in Liverpool, New York

Provider Information

NPI Number: 1982023222
Entity Type: Individual
Name: Renee Boulware, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: MD
Enumeration Date: Apr 15, 2014
Last Updated: Oct 1, 2020

Practice Location

Address: 4811 BUCKLEY RD
City: Liverpool
State: New York
ZIP Code: 13088-3676
Phone: (315) 457-9966

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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