| Doctor Name: | RONALD I DOZORETZ |
| NPI Number: | 1154510527 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | MD037138E |
| Business Practice Address: | 240 Corporate Blvd Norfolk, VA - 23502 |
| Business Phone Number: | 7574595205 |
| Business Fax Number: | 7574595415 |
| Mailing Address: | 240 Corporate Blvd, NORFOLK |
| State: | VA |
| Postal Code: | 23502 |
| Phone Number: | 7574595205 |
| Fax Number: | 7574595415 |
| NPI Enumeration Date: | 10/22/2007 |
| NPI Last Update Date: | 10/22/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD037138E |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |