Jeffery Jawni Dormu in Laurel - Vascular Surgery
Jeffery Jawni Dormu - NPI 1366430316
Jeffery Jawni Dormu is a Vascular Surgery in Laurel, Maryland. Jeffery Jawni Dormu practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Jeffery Jawni Dormu is 1366430316. The last update date is 2012-07-18.
Jeffery Jawni Dormu's current location address is 8730 Cherry Lane, Laurel, Maryland. You can contact this provider via phone number 3014971590 and fax number 2403344781. The mailing address for Jeffery Jawni Dormu is 8730 Cherry Lane, Laurel, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffery Jawni Dormu |
|---|---|
| Address | 8730 Cherry Lane, Laurel, Maryland |
| Phone Number | 3014971590 |
| Fax Number | 2403344781 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1366430316 |
|---|---|
| Provider Enumeration Date | 2005-10-12 |
| Last Updated Date | 2012-07-18 |
Provider Mailing Address Detail
| Address | 8730 Cherry Lane |
|---|---|
| City | Laurel |
| State | Maryland (MD) |
| Post Code | 20707 |
| Phone Number | 3014971590 |
| Fax Number | 2403344781 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | H0065639 |
|
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 31107300 | MD | -- | |
| 48615 | NJ | -- | |
| 54737700 | DC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jeffery Jawni Dormu by the Centers for Medicare & Medicaid Services?
The Jeffery Jawni Dormu has been issued the NPI (National Provider Identifier) 1366430316 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Jeffery Jawni Dormu's physical address?
The Jeffery Jawni Dormu is physically located at 8730 Cherry Lane, in the city of Laurel, MD, with the postal code 20707.
What is the Jeffery Jawni Dormu's area of specialization and corresponding taxonomy classification?
The Jeffery Jawni Dormu's specialty field is Vascular Surgery, and it falls under the taxonomy code 2086S0129X, which categorizes healthcare providers based on their specialties.
On what date did the Jeffery Jawni Dormu receive the assignment of its 1366430316 from the Centers for Medicare & Medicaid Services?
The Jeffery Jawni Dormu was issued its 1366430316 by the Centers for Medicare & Medicaid Services on 2005-10-12.
As of what date were the details related to Jeffery Jawni Dormu most recently updated or revised?
The information pertaining to Jeffery Jawni Dormu, including its address, specialty, and other relevant details, was last updated or revised on 2012-07-18.