Individual
MR. TIMOTHY DAVID DOLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SUB IDC
Contact information
Practice address
22 BARROWS DR, TOPSHAM, ME 04086-1303
(757) 288-7517
Mailing address
USS NORTH CAROLINA (SSN 777), FPO, AE 09579-2308
(757) 288-7517
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
07/13/2009
Last updated
07/13/2009
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