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Contact Information

JOHN M BOLGER, MD
61 TUSCARORA DR
CENTERPORT, NY11721-1532
 Phone: 631-942-2466
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for JOHN M BOLGER · (Male)

NPI # 1780476655
Status Active
Credentials MD
Entity Individual
Enumeration date 05/19/2025
Last updated 05/19/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NJ License # RESIDENT-PGY1
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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