MEDICARE: DR. JAMES R DORAN MD

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
1	207Q00000X	Family Medicine Physician	51345	CT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942249610
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES R DORAN MD

Provider Business Mailing Address
First Line	:	629 MIDDLE TPKE E
Second Line	:
City	:	MANCHESTER
State	:	CT
Zip	:	06040-3731
Country	:	US
Telephone Number	:	860-649-6900
Fax Number	:	860-647-0469

Provider Business Practice Location Address
First Line	:	415 KILLINGWORTH RD
Second Line	:
City	:	HIGGANUM
State	:	CT
Zip	:	06441-4392
Country	:	US
Telephone Number	:	860-345-8535
Fax Number	:	860-345-8678

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2006
Last Update Date	:	12/12/2025

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