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NPI:  1538199344
Entity Type:  Individual
Replacement NPI:  
EIN:  
Organization Name:  
Name:  DR. ADRIAN ANTHONY DORMANS MD
Other Organization Name:  
Other Organization Type:  
Other Name:
Other Last Name Type:  
Business Mailing Address:  121 WHITE TAIL DR MOUNTAIN TOP, PA 18707-1977 US
Business Telephone Number:  (570) 474-9984
Business Fax Number:
Practice Location Address:  121 WHITE TAIL DR MOUNTAIN TOP, PA 18707-1977 US
Practice Location Telephone Number:  (570) 474-9984
Practice Location Fax Number:
Enumeration Date:  07/04/2006
Last Update Date  07/31/2007
NPI Deactivation Reason:  
NPI Deactivation Date:  
NPI Reactivation Date:  
Gender:  Male
Authorized Official Name:
Authorized Official Telephone Number:
Provider Taxonomy Code 1: 207P00000X
Provider License Number 1: MD039661L
License Number State 1: PA
Primary Taxonomy Switch 1: Yes
 
   
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