Bolgar, Gary C

Bolgar, Gary C is an sole proprietor health care provider with primary practice located at 2110 Dorchester Ave Suite 308, Dorchester Center MA 02124-5628. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Bolgar, Gary C can be contacted via phone (617) 298-2075.

Contact Information

Primary practice address
2110 Dorchester Ave Suite 308 Dorchester Center MA 02124-5628
Fax: (617) 298-0727
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 047797 Massachusetts

Profile Details

NPI number 1063462018
LBN Legal business name Bolgar, Gary C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2006
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063462018 NPPES
Massachusetts MEDICAID 2096501

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