Provider Demographics
NPI:1528069499
Name:VOLFSON, OLGA (MD)
Entity type:Individual
Prefix:
First Name:OLGA
Middle Name:
Last Name:VOLFSON
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:340 MAIN STREET
Mailing Address - Street 2:SUITE 670
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01608-1604
Mailing Address - Country:US
Mailing Address - Phone:508-754-3566
Mailing Address - Fax:508-798-8012
Practice Address - Street 1:2100 DORCHESTER AVENUE
Practice Address - Street 2:7TH FLOOR
Practice Address - City:DORCHESTER
Practice Address - State:MA
Practice Address - Zip Code:02124-5615
Practice Address - Country:US
Practice Address - Phone:617-506-2027
Practice Address - Fax:617-474-3811
Is Sole Proprietor?:No
Enumeration Date:2005-08-02
Last Update Date:2010-02-03
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Provider Licenses
StateLicense IDTaxonomies
MA216483207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2089751Medicaid
MA2089751Medicaid