NPI

Jeffery Joseph Dorociak

This page is a copy of the public NPPES file.

Facts

Status
Active
Credential
M.D. PhD
Type
Individual
Enumeration date
2006-05-08
Last updated
2024-09-17

Specialties

Licenses

License SC
14495
License NY
294166
License OH
35.141191
License SC
14495
License ME
MD22232

Location

Practice location
46 Fairview Ave Ste 221
City
Skowhegan ME
Postal code
04976-1481
Phone
(207) 474-6945

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Nearby

Other NPIs in Skowhegan, ME. 456 records in the public file.

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