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Individual

BARRY CHARLES DORN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
150 PRESIDENTIAL WAY, SUITE 110, WOBURN, MA 01801-1100
(781) 782-1300
(781) 782-1350
Mailing address
150 PRESIDENTIAL WAY, SUITE 110, WOBURN, MA 01801-1100
(781) 782-1300
(781) 782-1350

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
31599
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2005026
MA
Enumeration date
07/22/2006
Last updated
07/09/2007
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