Individual
DR. JAMES LAWRENCE DOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
319 S MANNING BLVD, SUITE 103, ALBANY, NY 12208-1742
(518) 482-7874
(518) 482-7987
Mailing address
319 S MANNING BLVD, SUITE 103, ALBANY, NY 12208-1742
(518) 482-7874
(518) 482-7987
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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