Physician Compare National (NPI:1346683547)

HEALTHCARE PROVIDER: MARY GABRIELLE BOLTON M.D., PH.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1346683547
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0143461301
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20130731000011
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BOLTON
	Individual professional last name
Provider First Name	MARY
	Individual professional first name
Provider Middle Name	GABRIELLE
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	MEDICAL COLLEGE OF PENNSYLVANIA
	Individual professional's medical school
Graduation Year	1983
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	MEDICAL ONCOLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	MEDICAL ONCOLOGY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	9730 3RD AVE NE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 208
	Group Practice or individual's line 2 address
City	SEATTLE
	Group Practice or individual's city
State	WA
	Group Practice or individual's state
Zip Code	981152023
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2065225646
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	500008
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	UNIVERSITY OF WASHINGTON MEDICAL CTR
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y