Individual
MICHAEL J NOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
56 FRANKLIN ST, WATERBURY, CT 06706-1253
(203) 709-6360
(203) 709-5118
Mailing address
56 FRANKLIN ST, WATERBURY, CT 06706-1253
(203) 709-6360
(203) 709-5118
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1644
CT
363AS0400X
Surgical Physician Assistant
Primary
001644
CT
Other
Enumeration date
07/20/2006
Last updated
03/11/2025
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