Healthcare Provider Details

I. General information

NPI: 1942231568
Provider Name (Legal Business Name): JAMES H DOLAN DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 10/03/2021
Certification Date: 10/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

72 PORTSMOUTH AVE STE 107
STRATHAM NH
03885-2568
US

IV. Provider business mailing address

72 PORTSMOUTH AVENUE, SUITE 107
STRATHAM NH
03885-3212
US

V. Phone/Fax

Practice location:
  • Phone: 603-658-0190
  • Fax: 603-658-0196
Mailing address:
  • Phone: 603-580-4440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number0221
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License Number0221
License Number StateNH
# 3
Primary TaxonomyN
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number0221
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: