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Contact Information

JOSE A BOUFFARD, MD
261 MACK AVE
ROOM 215
DETROIT, MI48201-2417
 Phone: 313-966-2539
 Fax: 313-993-2630
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nuclear Imaging & Therapy

207UN0902X 36 Physician/Nuclear Medicine
Indicates primary specialty

NPI Profile & details for JOSE A BOUFFARD · (Male)

NPI # 1043388788
Status Active
Credentials MD
Entity Individual
Enumeration date 12/01/2006
Last updated 09/08/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4301044748
  • MI Other JB044748 STATE LICENSURE
Hospital affiliation(s)
  • DETROIT RECEIVING HOSPITAL & UNIV HEALTH CENTER - (Acute Care)
    4201 ST ANTOINE ST - 3M
    DETROIT, MI 48201
  • HARPER UNIVERSITY HOSPITAL - (Acute Care)
    3990 JOHN R STREET
    DETROIT, MI 48201
  • HURON VALLEY-SINAI HOSPITAL - (Acute Care)
    ONE WILLIAM CARLS DRIVE
    COMMERCE TOWNSHIP, MI 48382
  • SINAI-GRACE HOSPITAL - (Acute Care)
    6071 W OUTER DRIVE
    DETROIT, MI 48235
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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