NPI 1316935034 · live from the CMS NPI Registry
Robert J Boolbol, MD
Pain Medicine, Interventional Pain Medicine in Farmington, CT. National Provider Identifier 1316935034, active.
NPI record
| NPI | 1316935034 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pain Medicine, Interventional Pain Medicine 208VP0014X |
| Practice location | 11 South Rd, Suite 250, Farmington, CT 06032 |
| Practice phone | 860-674-0222 |
| Mailing address | 11350 Mccormick Rd, Executive Plaza 1, Suite 501, Hunt Valley, MD 21031 |
| Enumerated | October 6, 2005 |
| Last updated | June 26, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist | 174400000X | 040205 (CT) |
| Anesthesiology, Pain Medicine | 207LP2900X | 040205 (CT) |
| Pain Medicine, Interventional Pain Medicine primary | 208VP0014X | 040205 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.