Search › New York › 207P00000X
Jason Boulware, D.O
NPI 1013211168 · on the registry since 2011
Practice
- Address
- 2353 Hughes Ave
Apt 1a
Bronx, NY 10458 - Phone
- (646) 737-4364
Additional practice sites
- 455 Toll Gate Rd, Warwick, RI
- 363 Highland Ave, Fall River, MA
- 2740 Fulton Ave Ste 220, Sacramento, CA
Registry record
- Primary taxonomy
- 207P00000X
207P00000X
- Also registered as
- 207P00000X
207P00000X
207P00000X
207P00000X - Licence states on file
- NJ, NY, RI, MA, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-05-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York