Provider Demographics
NPI:1821150871
Name:DOLAN, ROBERT T (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:T
Last Name:DOLAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 DUDLEY ST
Mailing Address - Street 2:APT. 228
Mailing Address - City:CHELSEA
Mailing Address - State:MA
Mailing Address - Zip Code:02150-3054
Mailing Address - Country:US
Mailing Address - Phone:617-272-6551
Mailing Address - Fax:
Practice Address - Street 1:60 DUDLEY ST
Practice Address - Street 2:APT. 228
Practice Address - City:CHELSEA
Practice Address - State:MA
Practice Address - Zip Code:02150-3054
Practice Address - Country:US
Practice Address - Phone:617-272-6551
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA222752207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology