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Individual

DR. JAMES LAWRENCE DOLPH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
172323-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000405145001
BLUE SHIELD NENY
NY
05
01048746
NY
01
040426005318
FIDELIS
NY
01
10000502
CDPHP
NY
01
19200
MVP
NY
01
89E321
EMPIRE BCBS
NY
Enumeration date
10/12/2006
Last updated
07/08/2007
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