Individual
VICTORIA S. DORGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
31 BALCOM ST, MANSFIELD, MA 02048-2010
(508) 261-1007
Mailing address
31 BALCOM ST, MANSFIELD, MA 02048-2010
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1537083
—
MA
01
—
376454
BLUE CROSS BLUE SHIELD MA
MA
01
—
702925
HARVARD PILGRIM HEALTH
MA
01
—
804276
TUFTS SECURE HORIZON
MA
01
—
82-09709
UNITED HEALTHCARE OF NE
MA
Enumeration date
02/21/2007
Last updated
03/16/2009
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