Provider Demographics
NPI:1528413861
Name:FOLEY, BRIDGET (DO)
Entity type:Individual
Prefix:
First Name:BRIDGET
Middle Name:
Last Name:FOLEY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1569 SLOAT BLVD STE 333
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94132-1255
Mailing Address - Country:US
Mailing Address - Phone:415-353-9339
Mailing Address - Fax:
Practice Address - Street 1:1569 SLOAT BLVD STE 333
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94132-1255
Practice Address - Country:US
Practice Address - Phone:415-353-9339
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-24
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A21033207QA0401X
MA282400207QA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction MedicineGroup - Single Specialty