# PAUL A DORN JR MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790922300
- **Authorized official:** DR. PAUL A DORN JR. MD (PRINCIPAL)
- **Authorized official phone:** (301) 423-5858

## Contact information

- **Practice address:** 4467 OLD BRANCH AVE, STE 207, TEMPLE HILLS, MD 20748-1854
- **Practice address phone:** (301) 423-5858
- **Practice address fax:** (301) 423-4165
- **Mailing address:** 4467 OLD BRANCH AVE, STE 207, TEMPLE HILLS, MD 20748-1854
- **Mailing address phone:** (301) 423-5858
- **Mailing address fax:** (301) 423-4165

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | D04426 | MD | Yes |

## Other

- **Enumeration date:** 01/20/2009
- **Last updated:** 01/20/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 398064 | CAREFIRST OF MD | MD |
| 01 | — | 4666 | CAREFIRST DC REGION | DC |