Individual
DR. JEFFERY JOSEPH DOROCIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D. PHD
Contact information
Practice address
46 FAIRVIEW AVE STE 221, SKOWHEGAN, ME 04976-1481
(207) 474-6945
(207) 474-6933
Mailing address
571 SAINT JOSEPHS BLVD, FL 2, ELMIRA, NY 14901-3230
(607) 271-2050
(607) 271-2099
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
14495
SC
207RG0100X
Gastroenterology Physician
14495
SC
207RG0100X
Gastroenterology Physician
294166
NY
207RG0100X
Gastroenterology Physician
35.141191
OH
207RG0100X
Gastroenterology Physician
Primary
MD22232
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407805328
—
ME
05
—
144953
—
SC
Enumeration date
05/08/2006
Last updated
09/17/2024
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