Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 21210 | NH |
N | 207V00000X | Obstetrician & Gynecologist | 262179 | MA |
Y | 207V00000X | Obstetrician & Gynecologist | ME146886 | FL |
N | 208200000X | Surgeon | 6395 | NE |
N | 208600000X | Surgeon | 6395 | NE |
NPI | 1003058397 |
---|---|
Provider Name | Oleg Dolghi |
First Address | Wellesley, MA 02481-3597 |
Second Address | Miami, FL 33176-2118 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2009 |
Last Update Date | 21/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1101045701A | (05) | MA |