Individual
GARY C BOLGAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2110 DORCHESTER AVE, SUITE 308, DORCHESTER CENTER, MA 02124-5628
(617) 298-2075
(617) 298-0727
Mailing address
2110 DORCHESTER AVE, SUITE 308, DORCHESTER CENTER, MA 02124-5628
(617) 298-2075
(617) 298-0727
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
047797
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2096501
—
MA
Enumeration date
05/11/2006
Last updated
07/08/2007
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