Bolduc, Gregory M
Bolduc, Gregory M is an individual health care provider with primary practice located at 1085 Main St , South Weymouth MA 02190-1547. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Bolduc, Gregory M can be contacted via phone (781) 331-2922.Contact Information
Primary practice address
1085 Main St
South Weymouth MA 02190-1547
Phone: (781) 331-2922
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 78133 | Massachusetts |
Profile Details
| NPI number | 1821078767 |
|---|---|
| LBN Legal business name | Bolduc, Gregory M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2006 |
| Last updated | Jul 14th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821078767 | NPPES |
| Massachusetts | MEDICAID | 3125840 |
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