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NPI Code Detail

MEDICARE: TODD DORAN PA

MEDICARE: TODD DORAN PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA1128TN
2363A00000XPhysician AssistantC08891MD

General Provider Information

NPI Number : 1518054634
Entity Type Code : Individual
Provider Name (Legal Business Name) : TODD DORAN PA
Provider Business Mailing Address
First Line : 400 W 7TH ST
Second Line :
City : FREDERICK
State : MD
Zip : 21701-4506
Country : US
Telephone Number : 240-439-8913
Fax Number : 240-439-8910
Provider Business Practice Location Address
First Line : 1562 OPOSSUMTOWN PIKE
Second Line :
City : FREDERICK
State : MD
Zip : 21702-4920
Country : US
Telephone Number : 240-215-6310
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2006
Last Update Date : 07/05/2023

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Directions to “ TODD DORAN PA” Practice Location

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