DR. JANEMARIE N DOLAN MD NPI 1194736017

NPI Information

NPI: 1194736017
Provider Name: DR. JANEMARIE N DOLAN, MD
Classification: Pediatrics - 2080A0000X
Entity Type: Individual

Specialization: Adolescent Medicine

PECOS Registration: Yes

Address:
63 MAIN ST
BROCKTON, MA
ZIP 02301
Phone: (508) 559-6699
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DR. Janemarie N Dolan, MD is an adolescent medicine pediatrics in Brockton, MA. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. DR. Janemarie N Dolan, MD NPI is 1194736017. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

63 MAIN ST
BROCKTON, MA
ZIP 02301-042
Phone: (508) 559-6699
Fax: (508) 559-5073

The NPI 1194736017 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/10/2006 and was last updated on 12/19/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080A0000X	Pediatrics	Adolescent Medicine	79504	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	33101	OTHER	MASSACHUSETTS	CMSP
2	J14673	MEDICARE ID-TYPE UNSPECIFIED
3	33101	OTHER	MASSACHUSETTS	HEALTHY START
4	F47908	MEDICARE UPIN
5	1309927	MEDICAID	MASSACHUSETTS
6	0034435	OTHER	MASSACHUSETTS	NHP
7	J14673	OTHER	MASSACHUSETTS	BLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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