Basic Information
| Provider Information | |||||||||
| NPI: | 1942212998 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DOLINSKY | ||||||||
| FirstName: | PAUL | ||||||||
| MiddleName: | A | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | |||||||||
| OtherFirstName: | |||||||||
| OtherMiddleName: | |||||||||
| OtherNamePrefix: | |||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | |||||||||
| OtherLastNameType: | |||||||||
| Mailing Information | |||||||||
| Address1: | 1925 BRIDGE RD | ||||||||
| Address2: | |||||||||
| City: | EASTHAM | ||||||||
| State: | MA | ||||||||
| PostalCode: | 026423224 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8606705330 | ||||||||
| FaxNumber: | 3636002463 | ||||||||
| Practice Location | |||||||||
| Address1: | FONTAINE PRIMARY CARE | ||||||||
| Address2: | 525 LONG POND DRIVE | ||||||||
| City: | HARWICH | ||||||||
| State: | MA | ||||||||
| PostalCode: | 02645 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5084303322 | ||||||||
| FaxNumber: | 5084308951 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/11/2006 | ||||||||
| LastUpdateDate: | 08/21/2020 | ||||||||
| NPIDeactivationReasonCode: | |||||||||
| NPIDeactivationDate: | |||||||||
| NPIReactivationDate: | |||||||||
| ProviderGenderCode: | M | ||||||||
| AuthorizedOfficialLastName: | |||||||||
| AuthorizedOfficialFirstName: | |||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | |||||||||
| AuthorizedOfficialTelephone: | |||||||||
| IsSoleProprietor: | N | ||||||||
| IsOrganizationSubpart: | |||||||||
| ParentOrganizationLBN: | |||||||||
| AuthorizedOfficialNamePrefix: | |||||||||
| AuthorizedOfficialNameSuffix: | |||||||||
| AuthorizedOfficialCredential: | |||||||||
| NPICertificationDate: | 08/21/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 024379 | CT | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 279032 | MA | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.