Organization
L DOUGLAS DOLGOV MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
L. DOUGLAS DOLGOV M.D. (SOLE PROPRIETOR)
(508) 650-9999
Entity
Organization
Contact information
Practice address
67 UNION ST, NATICK, MA 01760-7700
(508) 650-9999
(508) 653-1054
Mailing address
PO BOX 2200, AMHERST, NH 03031-4200
(603) 673-9411
(603) 673-9899
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M17177
BLUE CROSS BLUE SHIELD
MA
Enumeration date
10/03/2006
Last updated
08/22/2020
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