Individual
MS. CAROLYN J DOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
700 CONGRESS ST, SUITE 301, QUINCY, MA 02169-0909
(617) 786-1455
(617) 786-1463
Mailing address
333 BRUSH HILL RD, MILTON, MA 02186-1000
(617) 333-1120
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
100959
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0354210
—
MA
Enumeration date
08/04/2006
Last updated
01/10/2008
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