Individual
DR. GARY STANWAY DORFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
525 E 68TH ST, F-052, NEW YORK, NY 10065-4870
(401) 225-7012
Mailing address
PO BOX 462, SAUNDERSTOWN, RI 02874-0462
(401) 225-7012
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
5928
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
158331
BOARD OF MEDICAL LICENSUR
MA
Enumeration date
02/27/2008
Last updated
02/27/2008
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