Individual
MARTIN M DOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
133 BROOKLINE AVE STE 300, BOSTON, MA 02215-3904
(617) 654-7111
(617) 421-1065
Mailing address
133 BROOKLINE AVE STE 300, BOSTON, MA 02215-3904
(617) 654-7111
(617) 421-1065
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
212659
MA
207X00000X
Orthopaedic Surgery Physician
Primary
216371
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2168472
—
MA
Enumeration date
06/07/2006
Last updated
12/10/2020
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