Individual
DR. JEFFREY SCOTT BOLGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5800 RIDGE AVE, PHILADELPHIA, PA 19128-1737
(215) 483-9900
(215) 487-4221
Mailing address
100 EAGLEVILLE RD, EAGLEVILLE, PA 19403-1829
(610) 539-6000
(610) 539-0785
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
OS014902
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1024403780001
—
PA
Enumeration date
12/14/2008
Last updated
06/21/2019
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