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Contact Information

ALAN BULOTSKY, MD & ASSOCIATES, PC
201 QUINCY ST
BROCKTON, MA02302-2926
 Phone: 508-584-1890
 Fax: 508-580-3332
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for ALAN BULOTSKY, MD & ASSOCIATES, PC

NPI Number 1134171671
LBN Legal business name ALAN BULOTSKY, MD & ASSOCIATES, PC
Authorized official MARK HAUSMAN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/16/2006
Last updated 03/19/2012 - About 14 years ago
Identifiers
MA Medicaid 9769196
MA Other M15672 BLUE CROSS & BLUE SHIELD
MA Other 20125 HARVARD PILGRIM HEALTH
MA Other 600703 TUFTS HEALTHCARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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