Individual
RAYMOND A BOLOGNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 WELLNESS WAY STE 300, MILFORD, DE 19963-4366
(302) 503-2460
(302) 424-9162
Mailing address
640 S STATE ST # MC3055, DOVER, DE 19901-3530
(302) 480-1688
(302) 480-9807
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
C1-0025497
DE
208800000X
Urology Physician
Primary
C1-0025497
DE
Other
Enumeration date
02/28/2006
Last updated
05/11/2023
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