| Organization Name: | JOHN H DORSEY JR DPM PA |
| NPI Number: | 1306983358 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN H DORSEY (OWNER) |
| Mailing Address: | 10 Forest Falls Dr Suite 2a Yarmouth |
| State: | ME US |
| Postal Code: | 040966936 |
| Phone Number: | 2078460802 |
| Fax Number: | 2078460802 |
| NPI Enumeration Date: | 01/31/2007 |
| NPI Last Update Date: | 11/28/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |