Provider Demographics
NPI:1962460105
Name:DOLANSKY, JOSEPH DAVID (DO)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:DAVID
Last Name:DOLANSKY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 EXECUTIVE CENTER PARKWAY
Mailing Address - Street 2:U.S. DEPT. OF VETERANS AFFAIRS - FREDERICKSBURG CBOC CL
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401
Mailing Address - Country:US
Mailing Address - Phone:540-370-4468
Mailing Address - Fax:804-675-6885
Practice Address - Street 1:414 MAIN ST
Practice Address - Street 2:
Practice Address - City:WARSAW
Practice Address - State:VA
Practice Address - Zip Code:22572
Practice Address - Country:US
Practice Address - Phone:804-333-3671
Practice Address - Fax:804-333-3657
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2014-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01020502512084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA299729OtherMDIPA
VA287603OtherANTHEM
VA4945123Medicaid
VA541183037OtherTRICARE
VI089891OtherSENTARA
VA299729OtherMDIPA
VA287603OtherANTHEM