Dornfeld, Richard A
Dornfeld, Richard A is an sole proprietor health care provider with primary practice located at 20 Hope Ave Suite 106, Waltham MA 02453-2721. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Dornfeld, Richard A can be contacted via phone (781) 893-3333.Contact Information
Primary practice address
20 Hope Ave Suite 106
Waltham MA 02453-2721
Phone: (781) 893-3333
Fax: (781) 890-2020
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 56922 | Massachusetts |
Profile Details
| NPI number | 1457441404 |
|---|---|
| LBN Legal business name | Dornfeld, Richard A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 13th, 2006 |
| Last updated | May 7th, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457441404 | NPPES |
| Massachusetts | MEDICAID | 3013111 |
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