Individual provider Active NPI

Mary Cardosa Bolduc, CMA PMAC

  • Podiatric Assistant
  • Harrisburg, PA
National Provider Identifier
1699746560
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric AssistantTaxonomy code 211D00000X
Practice address
6100 Old Jonestown Rd
Harrisburg, PA 17112-2632
Phone
(717) 541-0988
Fax
(717) 541-8838
NPI assigned
Jan 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Assistant 211D00000X PA Primary

Addresses

Primary practice location

6100 Old Jonestown Rd
Harrisburg, PA 17112-2632

Mailing address

PO Box 526
25 N Main St
Biglerville, PA 17307
Phone (717) 677-9288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Certified Medical Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1699746560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 526",
            "address_2": "25 N MAIN ST",
            "city": "BIGLERVILLE",
            "state": "PA",
            "postal_code": "17307",
            "telephone_number": "717-677-9288",
            "fax_number": "717-677-4196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 OLD JONESTOWN RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171122632",
            "telephone_number": "717-541-0988",
            "fax_number": "717-541-8838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLDUC",
        "first_name": "MARY",
        "middle_name": "CARDOSA",
        "credential": "CMA PMAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "211D00000X",
            "taxonomy_group": "",
            "desc": "Assistant, Podiatric",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.