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Organization
ALAN BULOTSKY, MD & ASSOCIATES, PC
Active
Organization
ALAN BULOTSKY, MD & ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK A. HAUSMAN MD (PRESIDENT)
(508) 584-1890
Entity
Organization
Contact information
Practice address
201 QUINCY ST, BROCKTON, MA 02302-2926
(508) 584-1890
(508) 580-3332
Mailing address
201 QUINCY ST, BROCKTON, MA 02302-2926
(508) 584-1890
(508) 580-3332
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20125
HARVARD PILGRIM HEALTH
MA
01
—
600703
TUFTS HEALTHCARE
MA
05
—
9769196
—
MA
01
—
M15672
BLUE CROSS & BLUE SHIELD
MA
Enumeration date
05/16/2006
Last updated
03/19/2012
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