Individual provider · Type 1 NPI
Jeffery Jawni Dormu, DO
Vascular Surgery Physician · Laurel, MD
NPI number
1366430316
Active
Practice location
8730 Cherry Lane, Suite 10
Laurel, MD 20707
Fax (240) 334-4781
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery Physician | 208600000X | 25MB07611900 (NJ) |
| Surgery Physician | 208600000X | H0065639 (MD) |
| Surgery Physician | 208600000X | DO034245 (DC) |
| Vascular Surgery Physician | 2086S0129X | H0065639 (MD) |
| Vascular Surgery Physician Primary | 2086S0129X | D0034245 (DC) |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
2 other providers at this address
About NPI 1366430316
Jeffery Jawni Dormu, DO's National Provider Identifier is 1366430316, issued on Oct 12, 2005. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Laurel, MD. The record was last updated on Jul 18, 2012.