Individual
JEFFREY M DORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4901 LANG AVE NE, ALBUQUERQUE, NM 87109-4495
(505) 842-8171
(505) 246-0684
Mailing address
4901 LANG AVE NE, ALBUQUERQUE, NM 87109-4397
(505) 842-8171
(505) 246-0684
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20020026
NM
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
20020026
NM
207RP1001X
Pulmonary Disease Physician
Primary
20020026
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
N6316
—
NM
Enumeration date
07/18/2006
Last updated
08/05/2021
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