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Individual

JIM DORAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
225 WILLIAMSON ST, ELIZABETH, NJ 07202-3625
(908) 944-5204
Mailing address
804 SCOTT NIXON MEMORIAL DR, AUGUSTA, GA 30907-2464

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
10816900
NJ

Other

Enumeration date
02/03/2006
Last updated
04/25/2008
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