Individual
DR. DAVID H DORFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
840 HARRISON AVE, MENINO 1, BOSTON, MA 02118-2905
(617) 414-4991
(617) 414-4541
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118-2371
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
74701
MA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
74701
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110050255A
—
MA
Enumeration date
11/15/2005
Last updated
07/10/2014
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