Individual
THOMAS DOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2800 MAIN ST, BRIDGEPORT, CT 06606-4201
(203) 576-6000
Mailing address
1290 SILAS DEANE HWY, WETHERSFIELD, CT 06109-4337
(475) 210-3690
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
6994
CT
Other
Enumeration date
04/18/2024
Last updated
02/28/2025
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