Judd Boloker
M.D. | Pediatric Neonatal-Perinatal Medicine | Male
Judd Boloker, M.D. is a Honolulu, Hawaii based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
Current practice location of Judd Boloker is
3288 Moanalua Rd, Honolulu, Hawaii - 96819-1469. He can be contacted on phone at
808-432-0000.
Judd Boloker is a sole proprietor of his business.
NPI number (Unique professional ID) for Judd Boloker is
1255334579 which was assigned by NPPES on 31 May, 2005 and it was last updated on 27 May, 2021.
Judd Boloker license number is
MD-15619 for Pediatrics Neonatal-Perinatal Medicine (2080N0001X) in Hawaii.
Judd Boloker is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Judd Boloker basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neonatal-Perinatal Medicine |
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| Provider Name : | Judd Boloker |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Judd Boloker address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3288 Moanalua Rd
Honolulu, HI, 96819-1469
United States |
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| Phone Number : | 808-432-0000 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1255334579 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 31 May, 2005 |
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| Last Updated On : | 27 May, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Judd Boloker are as mentioned. Primary taxonomy code for Judd Boloker, M.D. is
2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | No | MA076064 | NJ |
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | Yes | MD-15619 | HI |
Legacy Identifiers:
Other legacy medical identifiers of Judd Boloker such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 0026735 | MEDICAID | NJ | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
SOAP
(SOAP URL) | https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggateways
Carequality | No affiliation | HIE
Health Information Exchange (HIE)
| OTHER
Other
C-CDA | 3288 MOANALUA RD,
HONOLULU, HI, 96819-1469
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3288 Moanalua Rd
Honolulu, HI, 96819-1469
United States |
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| Phone Number : | 808-432-0000 |
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Business Location:
Patients can refer following map for directions to
Judd Boloker practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.