Individual
JENNIFER L DORANTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11911 N MERIDIAN ST STE 110, CARMEL, IN 46032-6919
(317) 621-6800
(317) 621-6808
Mailing address
280 CHESTNUT ST, 2ND FLOOR, SPRINGFIELD, MA 01199-1001
(413) 794-5700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
223928
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300004779
—
IN
Enumeration date
07/28/2006
Last updated
11/27/2023
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