Individual
PHILIP M DORFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
95 ARCH ST, SUITE 240, AKRON, OH 44304-1437
(330) 375-3226
(330) 375-3229
Mailing address
95 ARCH ST, SUITE 240, AKRON, OH 44304-1437
(330) 375-3226
(330) 375-3229
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35048101
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000137959
ANTHEM
OH
01
—
0532391
MEDICARE ID
OH
01
—
0532398
MEDICARE ID
OH
01
—
060023930
RR MEDICARE
OH
05
—
0981559
—
OH
01
—
341494944A
SUMMA
OH
01
—
341758848033
CARESOURCE
OH
01
—
730329
COMMUNITY HEALTH PLAN
OH
01
—
Q017923A
HOMETOWN HEALTH PLAN
OH
Enumeration date
08/21/2006
Last updated
10/25/2011
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