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Individual

BRIAN T. DOLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
55 FOGG RD, WEYMOUTH, MA 02190-2455
(781) 340-8719
(781) 682-5627
Mailing address
55 FOGG RD, WEYMOUTH, MA 02190-2432
(781) 340-8719
(781) 682-5627

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
152251
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3163938
MA
Enumeration date
06/16/2006
Last updated
10/19/2012
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