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NPI Code Detail

MEDICARE: HEIDI J DORRIS M.D.

MEDICARE: HEIDI J DORRIS M.D.
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
1207R00000XInternal Medicine PhysicianMD10153RI

General Provider Information

NPI Number : 1639175482
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEIDI J DORRIS M.D.
Provider Business Mailing Address
First Line : 106 NATE WHIPPLE HWY STE 101
Second Line :
City : CUMBERLAND
State : RI
Zip : 02864-1403
Country : US
Telephone Number : 401-658-2020
Fax Number : 401-658-3612
Provider Business Practice Location Address
First Line : 481 KINGSTOWN RD
Second Line :
City : WAKEFIELD
State : RI
Zip : 02879-3626
Country : US
Telephone Number : 401-789-0283
Fax Number : 401-789-0314
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2005
Last Update Date : 10/01/2025

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Directions to “ HEIDI J DORRIS M.D.” Practice Location

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