Individual provider · Type 1 NPI

Thomas Dolan, PA-C

Surgical Physician Assistant · Bridgeport, CT

NPI number 1679328108 Active

Practice location

2800 Main St
Bridgeport, CT 06606-4201

Call (203) 576-6000 Map

Mailing address

1290 Silas Deane Hwy
Wethersfield, CT 06109-4337

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X6994 (CT)

Surgical Physician Assistant: Definition to come...

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About NPI 1679328108

Thomas Dolan, PA-C's National Provider Identifier is 1679328108, issued on Apr 18, 2024. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Bridgeport, CT. The record was last updated on Feb 28, 2025.