Healthcare Provider Details

I. General information

NPI: 1447245808
Provider Name (Legal Business Name): DAVID DORIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/13/2005
Last Update Date: 08/14/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8116 GOOD LUCK RD STE 200
LANHAM MD
20706-3508
US

IV. Provider business mailing address

7404 EXECUTIVE PL STE 350
LANHAM MD
20706-6268
US

V. Phone/Fax

Practice location:
  • Phone: 301-599-1000
  • Fax: 301-599-5389
Mailing address:
  • Phone: 301-599-9500
  • Fax: 301-599-5389

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberD0020503
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: