Dolan, Martin M

Dolan, Martin M is an individual health care provider with primary practice located at 133 Brookline Ave Ste 300 , Boston MA 02215-3904. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Dolan, Martin M can be contacted via phone (617) 654-7111.

Contact Information

Primary practice address
133 Brookline Ave Ste 300 Boston MA 02215-3904
Phone: (617) 654-7111
Fax: (617) 421-1065
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 212659 Massachusetts
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 216371 New York

Profile Details

NPI number 1326088386
LBN Legal business name Dolan, Martin M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Dec 10th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326088386 NPPES
Massachusetts MEDICAID 2168472

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