Doctor Name: | MR. TIMOTHY DAVID DOLAN |
NPI Number: | 1326277237 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | SUB IDC |
License Number: | |
Business Practice Address: | 22 Barrows Dr Topsham, ME - 040861303 |
Business Phone Number: | 7572887517 |
Business Fax Number: | |
Mailing Address: | Uss North Carolina (ssn 777), FPO |
State: | AE |
Postal Code: | 095792308 |
Phone Number: | 7572887517 |
Fax Number: | |
NPI Enumeration Date: | 07/13/2009 |
NPI Last Update Date: | 07/13/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Specialist/Technologist, Other |
Taxonomy Specialization: | |
Taxonomy Definition: | General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |