Dormu, Jeffery Jawni

Dormu, Jeffery Jawni is an individual health care provider with primary practice located at 8730 Cherry Lane Suite 10, Laurel MD 20707. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Dormu, Jeffery Jawni can be contacted via phone (301) 497-1590.

Contact Information

Primary practice address
8730 Cherry Lane Suite 10 Laurel MD 20707
Phone: (301) 497-1590
Fax: (240) 334-4781
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 25MB07611900 New Jersey
Allopathic & Osteopathic Physicians / Surgery 208600000X H0065639 Maryland
Allopathic & Osteopathic Physicians / Surgery 208600000X DO034245 District of Columbia
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X H0065639 Maryland
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X D0034245 District of Columbia

Profile Details

NPI number 1366430316
LBN Legal business name Dormu, Jeffery Jawni
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Jul 18th, 2012 - about 12 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 1366430316 NPPES
Maryland MEDICAID 031107300
Maryland MEDICAID 0048615
Maryland MEDICAID 054737700

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