Individual
REBECCA ORENDORFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 WIDGER RD, MARBLEHEAD, MA 01945-2146
(781) 631-5126
Mailing address
1 WIDGER RD, MARBLEHEAD, MA 01945-2146
(781) 631-5126
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2006-01603
NC
207Q00000X
Family Medicine Physician
Primary
263703
MA
207Q00000X
Family Medicine Physician
MD427069
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5904896
—
NC
Enumeration date
08/04/2006
Last updated
10/16/2015
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