Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | C10007851 | DE |
N | 2080P0203X | Pediatric Critical Care Doctor | C10007851 | DE |
NPI | 1225129588 |
---|---|
Provider Name | Dr. Alfred T. Dorsey |
First Address | Rockland, DE 19732-0191 |
Second Address | Wilmington, DE 19803-3607 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/09/2006 |
Last Update Date | 14/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001264335 | (05) | PA |
5019109 | (05) | NJ |
6468411 | (05) | MD |
AD68126 | (05) | RI |
D72700 | (02) |