Organization
BOLTON FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERARD J FITZPATRICK MD (OWNER PHYSICIAN)
(978) 779-6262
Entity
Organization
Contact information
Practice address
146 HUDSON RD, BOLTON, MA 01740-1444
(978) 779-6262
(978) 779-6264
Mailing address
146 HUDSON ROAD, P.O. BOX 370, BOLTON, MA 01740
(978) 779-6262
(978) 779-6264
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9764607
—
MA
Enumeration date
02/13/2007
Last updated
08/22/2020
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