Individual
MR. CHRISTIAN DORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1036 N BROAD ST, HILLSIDE, NJ 07205-2840
(908) 409-2121
(908) 409-2119
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA08536300
NJ
Other
Enumeration date
03/25/2008
Last updated
04/05/2023
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