Dr James Lawrence Dolph, MD | |
319 S Manning Blvd, Suite 103, Albany, NY 12208-1742 | |
(518) 482-7874 | |
(518) 482-7987 |
Full Name | Dr James Lawrence Dolph |
---|---|
Gender | Male |
Speciality | Plastic Surgery |
Location | 319 S Manning Blvd, Albany, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811086614 | NPI | - | NPPES |
01048746 | Medicaid | NY | |
040426005318 | Other | NY | FIDELIS |
19200 | Other | NY | MVP |
10000502 | Other | NY | CDPHP |
000405145001 | Other | NY | BLUE SHIELD NENY |
89E321 | Other | NY | EMPIRE BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208200000X | Plastic Surgery | 172323-1 (New York) | Primary |
Entity Name | Albany Medical College |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629008537 PECOS PAC ID: 1759293111 Enrollment ID: O20031125000386 |
Mailing Address | Practice Location Address |
---|---|
Dr James Lawrence Dolph, MD 319 S Manning Blvd, Suite 103, Albany, NY 12208-1742 Ph: (518) 482-7874 | Dr James Lawrence Dolph, MD 319 S Manning Blvd, Suite 103, Albany, NY 12208-1742 Ph: (518) 482-7874 |
Dr. Francis J Cullen, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5 Palisades Dr, Suite 110, Albany, NY 12205 Phone: 518-482-7880 Fax: 518-482-7882 | |
Dr. David M Tauber, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5 Ulenski Dr, Albany, NY 12205 Phone: 518-724-2444 Fax: 518-724-2445 |