Individual
ALAN B BULOTSKY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
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
34968
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2032376
—
MA
Enumeration date
05/16/2006
Last updated
07/08/2007
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