Provider Demographics
NPI:1265506802
Name:DOLAN, MARGARET A (MD)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:A
Last Name:DOLAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3900 OLD GUN RD W
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23113-2023
Mailing Address - Country:US
Mailing Address - Phone:804-363-0937
Mailing Address - Fax:
Practice Address - Street 1:3900 OLD GUN RD W
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23113-2023
Practice Address - Country:US
Practice Address - Phone:804-363-0937
Practice Address - Fax:804-447-7541
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2020-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA010104431207PP0204X
OH35085173146D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PP0204XAllopathic & Osteopathic PhysiciansEmergency MedicinePediatric Emergency Medicine
No146D00000XEmergency Medical Service ProvidersPersonal Emergency Response Attendant