Dolgov, L. Douglas

Dolgov, L. Douglas is an individual health care provider with primary practice located at 20 Guest St Ste 225 , Brighton MA 02135-2065. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Dolgov, L. Douglas can be contacted via phone (617) 738-8642.

Contact Information

Primary practice address
20 Guest St Ste 225 Brighton MA 02135-2065
Phone: (617) 738-8642
Fax: (617) 202-4172
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 71000 Massachusetts
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 71000 Massachusetts

Profile Details

NPI number 1629044862
LBN Legal business name Dolgov, L. Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Dec 6th, 2017 - about 9 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 1629044862 NPPES
Massachusetts MEDICAID 3082750
Massachusetts Other 80575
Massachusetts Other 720652
Massachusetts Other 2437395
Massachusetts Other J10312
Massachusetts Other 137530
Massachusetts Other 2916

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