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Individual
DR. BRUCE ALAN DORMAN
Active
Individual
DR. BRUCE ALAN DORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
1495
FL
213E00000X
Podiatrist
Primary
NY003551
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0025415
GHI
NY
05
—
00818933
—
NY
01
—
P38382
BLUE CROSS
NY
01
—
P559929
OXFORD INSURANCE
NY
Enumeration date
08/15/2005
Last updated
09/30/2012
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