Dormitzer, Philip R.

Dormitzer, Philip R. is an individual health care provider with primary practice located at 320 Longwood Ave Enders 673, Children'S Hospital, Boston MA 02115-5746. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Dormitzer, Philip R. can be contacted via phone (617) 355-3026.

Contact Information

Primary practice address
320 Longwood Ave Enders 673, Children'S Hospital Boston MA 02115-5746
Phone: (617) 355-3026
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 151131 Massachusetts
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 151131 Massachusetts

Profile Details

NPI number 1255389979
LBN Legal business name Dormitzer, Philip R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255389979 NPPES
Massachusetts MEDICAID 0110809

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