Dr Corey Dolan, MD is a
Student In An Organized Health Care Education/training Program physician based in Hackensack, New Jersey. Dr Corey Dolan is licensed to practice in * (Not Available) (license number ) and his current practice location is 30 Prospect Ave, Hackensack, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(551) 996-2000.
NPI number for Dr Corey Dolan is 1861142267 and his current mailing address is 414 Blacklatch Ln, Camp Hill, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1861142267.
Physician's Profile
| Full Name | Dr Corey Dolan |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 30 Prospect Ave, Hackensack, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1861142267
- Provider Enumeration Date: 03/28/2022
- Last Update Date: 08/27/2025
Medical Identifiers
Medical identifiers for Dr Corey Dolan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861142267 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | A204033 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Corey Dolan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Corey Dolan, MD
414 Blacklatch Ln,
Camp Hill, PA 17011-8414
Ph: (717) 497-7439 | Dr Corey Dolan, MD
30 Prospect Ave,
Hackensack, NJ 07601-1915
Ph: (551) 996-2000 |
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