MEDICARE: DR. GEORGE RICHARD BULGER DROT, OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	022930	NY
2	225X00000X	Occupational Therapist	46TR00928500	NJ

General Provider Information

NPI Number	:	1003390865
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GEORGE RICHARD BULGER DROT, OTR/L

Provider Business Mailing Address
First Line	:	46 MILLS AVE
Second Line	:
City	:	PORT MONMOUTH
State	:	NJ
Zip	:	07758-1127
Country	:	US
Telephone Number	:	347-513-9292
Fax Number	:

Provider Business Practice Location Address
First Line	:	46 MILLS AVE
Second Line	:
City	:	PORT MONMOUTH
State	:	NJ
Zip	:	07758-1127
Country	:	US
Telephone Number	:	347-513-9292
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/18/2018
Last Update Date	:	09/18/2023

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