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Contact Information

JON D DORFMAN, MD
55 LAKE AVE N
DEPARTMENT OF SURGERY
WORCESTER, MA01655-0002
 Phone: 508-856-5288
 Fax: 508-856-4224
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical Critical Care

2086S0102X 02 Physician/General Surgery
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JON D DORFMAN · (Male)

NPI # 1306837190
Status Active
Credentials MD
Entity Individual
Enumeration date 11/02/2005
Last updated 08/18/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 227175
  • MA Medicaid 110073533A
Hospital affiliation(s)
  • HEALTHALLIANCE HOSPITALS INC - (Acute Care)
    60 HOSPITAL ROAD
    LEOMINSTER, MA 01453
  • UMASS MEMORIAL MEDICAL CENTER INC - (Acute Care)
    55 LAKE AVENUE NORTH
    WORCESTER, MA 01655
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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