Provider Demographics
NPI:1942212998
Name:DOLINSKY, PAUL A (MD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:A
Last Name:DOLINSKY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1925 BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:EASTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02642-3224
Mailing Address - Country:US
Mailing Address - Phone:860-670-5330
Mailing Address - Fax:363-600-2463
Practice Address - Street 1:FONTAINE PRIMARY CARE
Practice Address - Street 2:525 LONG POND DRIVE
Practice Address - City:HARWICH
Practice Address - State:MA
Practice Address - Zip Code:02645
Practice Address - Country:US
Practice Address - Phone:508-430-3322
Practice Address - Fax:508-430-8951
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2020-08-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT024379207R00000X
MA279032207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTD80833Medicare UPIN