Individual
JON D. DORFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 LAKE AVE N, DEPARTMENT OF SURGERY, WORCESTER, MA 01655-0002
(508) 856-5288
(508) 856-4224
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
227175
MA
2086S0102X
Surgical Critical Care Physician
Primary
227175
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110073533A
—
MA
Enumeration date
11/02/2005
Last updated
08/18/2015
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