Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | 76775 | MA |
NPI | 1427052703 |
---|---|
Provider Name | Dr. Joseph J. Doerr |
First Address | Somerset, MA 02726-1220 |
Second Address | Somerset, MA 02726-1220 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2005 |
Last Update Date | 08/12/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E22045 | (02) | MA |