Individual
MR. TIMOTHY JAMES DOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
870 S GOVERNORS AVE, DOVER, DE 19904-4108
(302) 674-8088
Mailing address
870 S GOVERNORS AVE STE 105, DOVER, DE 19904-4108
(302) 674-8088
(570) 748-1510
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C50001286
DE
363AM0700X
Medical Physician Assistant
MA055522
PA
Other
Enumeration date
06/25/2012
Last updated
03/25/2020
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