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Individual
DOROTHY WOODWARD WORTMANN
Active
Individual
DOROTHY WOODWARD WORTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2080P0216X
Pediatric Rheumatology Physician
Primary
13842
NH
2080P0216X
Pediatric Rheumatology Physician
21720
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100019060B
—
OK
05
—
1014643
—
VT
05
—
30207483
—
NH
Enumeration date
03/01/2006
Last updated
01/03/2012
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