# BOLTON FAMILY MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134261365
- **Authorized official:** DR. GERARD J FITZPATRICK MD (OWNER PHYSICIAN)
- **Authorized official phone:** (978) 779-6262

## Contact information

- **Practice address:** 146 HUDSON RD, BOLTON, MA 01740-1444
- **Practice address phone:** (978) 779-6262
- **Practice address fax:** (978) 779-6264
- **Mailing address:** 146 HUDSON ROAD, P.O. BOX 370, BOLTON, MA 01740
- **Mailing address phone:** (978) 779-6262
- **Mailing address fax:** (978) 779-6264

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/13/2007
- **Last updated:** 08/22/2020