Individual
GARY W DORSHIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
727 DELANCEY STREET, PHILADELPHIA, PA 19106
(218) 829-3523
(215) 829-6023
Mailing address
727 DELANCEY ST, SUITE 1A, PHILADELPHIA, PA 19106-4002
(215) 829-3016
(215) 829-3039
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD027094E
PA
207RS0010X
Sports Medicine (Internal Medicine) Physician
MD027094E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009677600001
—
PA
Enumeration date
06/22/2006
Last updated
10/19/2012
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