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Individual

DR. JOHN J DOERR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
914 CLIFTON AVE, CLIFTON, NJ 07013-2708
(973) 777-5022
(973) 594-4769
Mailing address
PO BOX 684, CLIFTON, NJ 07012-0684
(973) 777-5022
(973) 594-4769

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA04896600
NJ
2471B0102X
Bone Densitometry Radiologic Technologist
MA048966
NJ
2471C3402X
Radiography Radiologic Technologist
MA048966
NJ
2471M2300X
Mammography Radiologic Technologist
MA048966
NJ
2471S1302X
Sonography Radiologic Technologist
MA048966
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1433709
NJ
01
24F95
EMPIRE BC/BS SITE #200
NJ
01
24F952
WELL CHOICE
NJ
01
429083
AETNA
NJ
01
60377891
MULTIPLAN
NJ
01
A3392920
OXFORD
NJ
01
F10779
HEALTH NET
NJ
Enumeration date
10/24/2006
Last updated
01/10/2025
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