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NPI Code Detail

MEDICARE: GERARD MICHAEL NOLAN MD PC

MEDICARE: GERARD MICHAEL NOLAN MD PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology Physician22587CT

General Provider Information

NPI Number : 1518211879
Entity Type Code : Organization
Provider Name (Legal Business Name) : GERARD MICHAEL NOLAN MD PC
Provider Business Mailing Address
First Line : 1 FOREST PARK DR
Second Line : P O BOX 827
City : FARMINGTON
State : CT
Zip : 06032-1487
Country : US
Telephone Number : 860-674-9627
Fax Number : 860-676-8622
Provider Business Practice Location Address
First Line : 1 FOREST PARK DR
Second Line :
City : FARMINGTON
State : CT
Zip : 06032-1487
Country : US
Telephone Number : 860-674-9627
Fax Number : 860-676-8622
Authorized Official
Title or Position : OPHTHALMOLOGIST
Name : DR. GERARD MICHAEL NOLAN
Credential : MD
Telephone Number : 860-674-9627
Provider Enumeration Date : 11/07/2012
Last Update Date : 11/07/2012

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Directions to “GERARD MICHAEL NOLAN MD PC ” Practice Location

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