Active NPIIndividual provider

Jon D Dorfman, MD

Surgery, Surgical Critical Care in Worcester, Massachusetts

NPI Number1306837190
Practice location
55 Lake Ave N, Department Of Surgery, Worcester, MA 01655-0002
Fax
508-856-4224
Last updated
August 18, 2015

Jon D. Dorfman is a Surgery, Surgical Critical Care based in Worcester, MA. Jon D. Dorfman practices in Worcester, MA and has the professional credentials of MD. The NPI Number for Jon D. Dorfman is 1306837190 and holds a License No. 227175 (MA). The current practice location address for Jon D. Dorfman is 55 Lake Ave N, Department Of Surgery, Worcester, MA 01655-0002 and can be reached out via phone at 508-856-5288 and via fax at 508-856-4224.

Provider Profile Details

NPI Number
1306837190
Provider Name
Jon D. Dorfman
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
55 Lake Ave N, Department Of Surgery, Worcester, MA 01655-0002
Phone Number
508-856-5288
Fax Number
508-856-4224
Primary Taxonomy
Surgery, Surgical Critical Care · 2086S0102X
Sole Proprietor
No
Provider Enumeration Date
November 2, 2005
Last Update Date
August 18, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Lake Ave N
Department Of Surgery
Worcester, MA 01655-0002
Zip
01655-0002
Phone Number
508-856-5288
Fax Number
508-856-4224
Worcester, MA 01655Get directions →

Provider Business Mailing Address Details

Address
Po Box 415348
Boston, MA 02241-5348
City
Boston
State
MA
Zip
02241-5348
Phone Number
800-225-8885
Fax Number
508-334-1977

License Information

License Number (1)
227175
License State (1)
MA
Taxonomy (1)
Surgery, Surgical Critical Care · 2086S0102X · Primary
License Number (2)
227175
License State (2)
MA
Taxonomy (2)
Surgery · 208600000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jon D Dorfman, MD?

The NPI number of Jon D Dorfman, MD is 1306837190. It was assigned on November 2, 2005 and is currently active in the NPPES registry.

What is the specialty of Jon D Dorfman, MD?

Jon D Dorfman, MD is registered under the primary taxonomy Surgery, Surgical Critical Care (code 2086S0102X), licensed in MA under license number 227175.

Where does Jon D Dorfman, MD practice?

The practice location is 55 Lake Ave N, Department Of Surgery, Worcester, MA 01655-0002. The office can be reached at 508-856-5288 (phone) or 508-856-4224 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1306837190 directly on the NPPES registry website.

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