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Organization
PAUL A DORN JR MD PA
Active
Organization
PAUL A DORN JR MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL A DORN JR. MD (PRINCIPAL)
(301) 423-5858
Entity
Organization
Contact information
Practice address
4467 OLD BRANCH AVE, STE 207, TEMPLE HILLS, MD 20748-1854
(301) 423-5858
(301) 423-4165
Mailing address
4467 OLD BRANCH AVE, STE 207, TEMPLE HILLS, MD 20748-1854
(301) 423-5858
(301) 423-4165
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
D04426
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
398064
CAREFIRST OF MD
MD
01
—
4666
CAREFIRST DC REGION
DC
Enumeration date
01/20/2009
Last updated
01/20/2009
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