Healthcare Provider Details

I. General information

NPI: 1376806653
Provider Name (Legal Business Name): ALON DOR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2012
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

148 CHESTNUT ST
NEEDHAM MA
02492-2505
US

IV. Provider business mailing address

148 CHESTNUT ST BETH ISRAEL DEACONESS NEEDHAM
NEEDHAM MA
02492-2505
US

V. Phone/Fax

Practice location:
  • Phone: 781-453-3777
  • Fax:
Mailing address:
  • Phone: 781-453-3777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number253267
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number262675
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: