Individual
DR. ROXANA BOLOGA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
505 E 70TH ST, 2ND FLOOR, NEW YORK, NY 10021-4872
(212) 746-1582
(212) 746-8090
Mailing address
504 E 74TH ST, NEW YORK, NY 10021-3486
(212) 249-4061
(212) 249-4659
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
191126
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01625350
—
NY
Enumeration date
04/05/2006
Last updated
07/08/2007
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