Healthcare Provider Details

I. General information

NPI: 1437181864
Provider Name (Legal Business Name): TERRYL DORSCH DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 10/28/2026
Certification Date: 10/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1410 HIGHLAND AVE STE 204
NEEDHAM MA
02492-2617
US

IV. Provider business mailing address

1410 HIGHLAND AVE STE 204
NEEDHAM MA
02492-2617
US

V. Phone/Fax

Practice location:
  • Phone: 781-444-4044
  • Fax: 781-444-5044
Mailing address:
  • Phone: 781-444-4044
  • Fax: 781-444-5044

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number2352
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: