Provider Demographics
NPI:1942231568
Name:DOLAN, JAMES H (DPM)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:H
Last Name:DOLAN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:72 PORTSMOUTH AVENUE, SUITE 107
Mailing Address - Street 2:
Mailing Address - City:STRATHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03885-3212
Mailing Address - Country:US
Mailing Address - Phone:603-580-4440
Mailing Address - Fax:
Practice Address - Street 1:72 PORTSMOUTH AVE
Practice Address - Street 2:STE 107
Practice Address - City:STRATHAM
Practice Address - State:NH
Practice Address - Zip Code:03885-2568
Practice Address - Country:US
Practice Address - Phone:603-658-0190
Practice Address - Fax:603-658-0196
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2021-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0221213EP1101X, 213ES0131X, 213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
No213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30006211Medicaid
NH30006211Medicaid
NHT81843Medicare UPIN